| Katherine Dalzotto, MD | |
| 
					N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031  | |
| (262) 547-3352 | |
| Not Available | 
| Full Name | Katherine Dalzotto | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology | 
| Location | N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144781188 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 76937 (Wisconsin) | Primary | 
| Entity Name | Medical Eye Associates Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023066636 PECOS PAC ID: 0941195036 Enrollment ID: O20040218000184  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katherine Dalzotto, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352  | Katherine Dalzotto, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352  | 
Gregory R Lochen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142  | |
Douglas M. Long, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352  | |
R. R. Flickinger Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142  | |
Deborah W Bernstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142  | |
Josephine-liezl P Cueto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000  | |
Bruce Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 10, Waukesha, WI 53188 Phone: 262-547-7002 Fax: 262-547-1815  |