Indianhead Eye Clinic | |
W7164 Green Valley Rd Spooner WI 54801-6605 | |
(715) 635-3127 | |
(715) 635-3316 |
Full Name | Indianhead Eye Clinic |
---|---|
Speciality | Clinic/center |
Location | W7164 Green Valley Rd, Spooner, Wisconsin |
Authorized Official Name and Position | Thomas Eric Herzog (OPTICIAN/OWNER) |
Authorized Official Contact | 7156353127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indianhead Eye Clinic Po Box 446 Spooner WI 54801-0446 Ph: (715) 635-3127 | Indianhead Eye Clinic W7164 Green Valley Rd Spooner WI 54801-6605 Ph: (715) 635-3127 |
NPI Number | 1902887508 |
---|---|
Provider Enumeration Date | 11/10/2005 |
Last Update Date | 01/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902887508 | NPI | - | NPPES |
DG1708 | Other | WI | PALMETTO RR MEDICARE |
38711400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Essentia Health Spooner Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1180 Chandler Drive, Spooner, WI 54801 Phone: 715-635-2151 |