| Antigo Eye Care Center | |
|
810 5th Ave, Antigo, WI 54409-1937 | |
| (715) 623-3620 | |
| (715) 623-3333 |
| Full Name | Antigo Eye Care Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 810 5th Ave, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457459836 | NPI | - | NPPES |
| 38708600-38553700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T61453 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Antigo Eye Care Center 810 5th Ave, P O Box 628, Antigo, WI 54409-1937 Ph: (715) 623-3620 | Antigo Eye Care Center 810 5th Ave, Antigo, WI 54409-1937 Ph: (715) 623-3620 |
Richard A Kjome, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 | |
Antigo Vision Clinic Sc Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244 | |
Midline Vision Group Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244 |