| Dr Mark Freedman, MD | |
|
10150 W National Ave, West Allis, WI 53227-2145 | |
| (414) 321-7520 | |
| (414) 321-9383 |
| Full Name | Dr Mark Freedman |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 10150 W National Ave, West Allis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053389643 | NPI | - | NPPES |
| 32755900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 28940 (Wisconsin) | Primary |
| Entity Name | Eye Care Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063587038 PECOS PAC ID: 4082667233 Enrollment ID: O20050228000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Freedman, MD 10150 W National Ave, West Allis, WI 53227-2145 Ph: (414) 321-7520 | Dr Mark Freedman, MD 10150 W National Ave, West Allis, WI 53227-2145 Ph: (414) 321-7520 |
Daniel Ferguson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383 | |
Brett Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, Suite 100, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383 | |
Richard D Davenport, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Ste 506, West Allis, WI 53227 Phone: 414-328-8760 Fax: 414-328-8763 | |
Robert Sucher, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 Fax: 414-321-9383 | |
Daniel M Paskowitz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10150 W National Ave, West Allis, WI 53227 Phone: 414-321-7520 |