| Swanson Eye Care Inc | |
|
2900 S Wisconsin Ave Rice Lake WI 54868-8578 | |
| (608) 341-9636 | |
| Not Available |
| Full Name | Swanson Eye Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 S Wisconsin Ave, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Todd Swanson (OWNER DOCTOR) |
| Authorized Official Contact | 6083419636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swanson Eye Care Inc 2900 S Wisconsin Ave Rice Lake WI 54868-8578 Ph: (608) 341-9636 | Swanson Eye Care Inc 2900 S Wisconsin Ave Rice Lake WI 54868-8578 Ph: (608) 341-9636 |
| NPI Number | 1144609322 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 5597086041 |
|---|---|
| Medicare Enrollment ID | O20150609001404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144609322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Todd C Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063475879 PECOS PAC ID: 4789572173 Enrollment ID: I20040308000809 |
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