Andrew L Rust Optometrist Sc | |
250 Crossroads Dr Plover WI 54467-4124 | |
(715) 345-9588 | |
Not Available |
Full Name | Andrew L Rust Optometrist Sc |
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Speciality | Clinic/Center |
Location | 250 Crossroads Dr, Plover, Wisconsin |
Authorized Official Name and Position | Andrew Rust (OWNER/PRESIDENT) |
Authorized Official Contact | 7153413318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Andrew L Rust Optometrist Sc 1510 Ashwood Dr Plover WI 54467-2466 Ph: () - | Andrew L Rust Optometrist Sc 250 Crossroads Dr Plover WI 54467-4124 Ph: (715) 345-9588 |
NPI Number | 1164655882 |
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Provider Enumeration Date | 08/27/2009 |
Last Update Date | 08/27/2009 |
Medicare PECOS PAC ID | 1850447129 |
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Medicare Enrollment ID | O20090929000234 |
Identifier | Type | State | Issuer |
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1164655882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 2810 (Wisconsin) | Primary |
Provider Name | Andrew L Rust |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891802005 PECOS PAC ID: 9335161587 Enrollment ID: I20051230000609 |
Aspirus Plover Clinic - Plover Road Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2401 Plover Rd, Plover, WI 54467 Phone: 715-295-3800 |