Wolf River Eyecare Llc | |
1923 N Shawano St, Suite B, New London, WI 54961-7510 | |
(920) 982-4561 | |
(920) 982-9811 |
Full Name | Wolf River Eyecare Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1923 N Shawano St, New London, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447344593 | NPI | - | NPPES |
38719600 | Medicaid | WI |
Provider Name | Rebecca D Amaral |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114013943 PECOS PAC ID: 0345392023 Enrollment ID: I20090709000573 |
Mailing Address | Practice Location Address |
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Wolf River Eyecare Llc 1923 N Shawano St, Suite B, New London, WI 54961-7510 Ph: (920) 982-4561 | Wolf River Eyecare Llc 1923 N Shawano St, Suite B, New London, WI 54961-7510 Ph: (920) 982-4561 |
Dr. Kerry Lee Griebenow, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009 | |
Rebecca D Amaral, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811 | |
Griebenow Eyecare, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 105 Northridge Drive, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009 | |
Craig E Sylte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 | |
Molly Benck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 |