Lakeshore Vision Centers Ltd is a medicare enrolled primary clinic (Clinic/center) in Kewaunee, Wisconsin. The current practice location for Lakeshore Vision Centers Ltd is 1217 Ellis St, Kewaunee, Wisconsin. For appointments, you can reach them via phone at
(920) 388-2020. The mailing address for Lakeshore Vision Centers Ltd is 1217 Ellis St, Kewaunee, Wisconsin and phone number is (920) 388-2020.
Lakeshore Vision Centers Ltd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1073663704. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(920) 388-2020.
Primary Care Clinic Profile
| Full Name | Lakeshore Vision Centers Ltd |
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| Speciality | Clinic/Center |
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| Location | 1217 Ellis St, Kewaunee, Wisconsin |
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| Authorized Official Name and Position | Susan A Gorz (CO OWNER VICE PRESIDENT) |
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| Authorized Official Contact | 9204872020 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lakeshore Vision Centers Ltd
1217 Ellis St
Kewaunee
WI 54216
Ph: (920) 388-2020 | Lakeshore Vision Centers Ltd
1217 Ellis St
Kewaunee
WI 54216
Ph: (920) 388-2020 |
NPI Details:
| NPI Number | 1073663704 |
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| Provider Enumeration Date | 01/12/2007 |
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| Last Update Date | 04/22/2009 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9133200900 |
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| Medicare Enrollment ID | O20100930045774 |
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Medical Identifiers
Medical identifiers for Lakeshore Vision Centers Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073663704 | NPI | - | NPPES |
| 000047383 | Other | WI | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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