| William E, Bourgeois O.d,, S.c. | |
|
1507 Main St, Marinette, WI 54143-1301 | |
| (715) 735-9593 | |
| Not Available |
| Full Name | William E, Bourgeois O.d,, S.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1507 Main St, Marinette, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851462394 | NPI | - | NPPES |
| 022713001 | Other | WI | ADMINISTAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1571 (Wisconsin) | Primary |
| Provider Name | William E Bourgeois |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790856334 PECOS PAC ID: 8628100401 Enrollment ID: I20100714000168 |
| Provider Name | Alex J Schoen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780336057 PECOS PAC ID: 6305217852 Enrollment ID: I20230120002006 |
| Mailing Address | Practice Location Address |
|---|---|
| William E, Bourgeois O.d,, S.c. 1507 Main St, Marinette, WI 54143-1301 Ph: (715) 735-9593 | William E, Bourgeois O.d,, S.c. 1507 Main St, Marinette, WI 54143-1301 Ph: (715) 735-9593 |
Congdon Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3003 Cleveland Ave, Suite A, Marinette, WI 54143 Phone: 715-732-2101 | |
Dr. Kevin Congdon, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3003 Cleveland Ave, Suite A, Marinette, WI 54143 Phone: 715-732-2101 | |
Dr. Steven Lee Nottleson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Main St, Marinette, WI 54143 Phone: 715-735-3012 Fax: 715-735-3636 | |
Corgan Vision Clinic, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2706 Cahill Rd Ste E, Marinette, WI 54143 Phone: 715-330-5570 Fax: 715-330-5369 | |
Dr. Andrew Congdon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3003 Cleveland Ave, A, Marinette, WI 54143 Phone: 920-883-0632 | |
Alex J Schoen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1507 Main St, Marinette, WI 54143 Phone: 715-735-9593 | |
Dr. Timothy Corgan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 University Dr, Suite 101, Marinette, WI 54143 Phone: 715-732-4181 |