Wautoma Eye Clinic S.c. is a medicare enrolled "Optometrist" provider in Wautoma, Wisconsin. Their current practice location is
N2577 Plaza Rd, Wautoma, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 787-3837.
Wautoma Eye Clinic S.c. is licensed to practice in Wisconsin (license number 2056) and it also participates in the medicare program. Wautoma Eye Clinic S.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972628584.
Healthcare Provider's Profile
Full Name | Wautoma Eye Clinic S.c. |
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Type | Facility |
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Speciality | Optometrist |
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Location | N2577 Plaza Rd, Wautoma, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972628584
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325234404
- Enrollment ID: O20110128000994
Medical Identifiers
Medical identifiers for Wautoma Eye Clinic S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972628584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2056 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wautoma Eye Clinic S.c. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wautoma Eye Clinic S.c. Po Box 366, N2577 Plaza Road, Wautoma, WI 54982-0366 Ph: (920) 787-3837 | Wautoma Eye Clinic S.c. N2577 Plaza Rd, Wautoma, WI 54982-7706 Ph: (920) 787-3837 |
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