Durand Optometry Clinic Llc | |
100 E Main St, Durand, WI 54736 | |
(715) 672-8981 | |
(715) 672-8983 |
Full Name | Durand Optometry Clinic Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 100 E Main St, Durand, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427137348 | NPI | - | NPPES |
23193 | Other | NVA | |
2100386 | Other | MEDICA-MATERIALS | |
59158DU | Other | MN | BCBS OF MN |
115291 | Other | HEALTHPARTNERS | |
220856 | Other | MEDICA-EXAM | |
2210848 | Other | WI | SELECT CARE |
38429700 | Medicaid | WI | |
45862 | Other | SPECTRA | |
5681910001 | Other | WI | DMERC |
A65371016545 | Other | MN | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2689 (Wisconsin) | Primary |
Provider Name | Tony R Morris |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588639371 PECOS PAC ID: 0446265318 Enrollment ID: I20060215000099 |
Provider Name | Gary B Lukes |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285608414 PECOS PAC ID: 8729093562 Enrollment ID: I20060215000122 |
Mailing Address | Practice Location Address |
---|---|
Durand Optometry Clinic Llc 100 E. Main St., P.o. Box 147, Durand, WI 54736-0147 Ph: (715) 672-8981 | Durand Optometry Clinic Llc 100 E Main St, Durand, WI 54736 Ph: (715) 672-8981 |
Tony R Morris, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 E Main St, Durand, WI 54736 Phone: 715-672-8981 |