| Todd M. Lenhard O.d. | |
|
2292 Main St Green Bay WI 54311-5307 | |
| (920) 465-7990 | |
| Not Available |
| Full Name | Todd M. Lenhard O.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2292 Main St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Todd M Lenhard (OWNER) |
| Authorized Official Contact | 9204697970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M. Lenhard O.d. Po Box 22576 Green Bay WI 54305-2576 Ph: (920) 469-7970 | Todd M. Lenhard O.d. 2292 Main St Green Bay WI 54311-5307 Ph: (920) 465-7990 |
| NPI Number | 1225269848 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 07/30/2009 |
| Medicare PECOS PAC ID | 7012053473 |
|---|---|
| Medicare Enrollment ID | O20091015000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225269848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Todd M Lenhard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568498087 PECOS PAC ID: 0941346308 Enrollment ID: I20091015000338 |
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