Antigo Vision Clinic Sc | |
714 3rd Ave, Antigo, WI 54409-2044 | |
(715) 623-2180 | |
(715) 623-7244 |
Full Name | Antigo Vision Clinic Sc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 714 3rd Ave, Antigo, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295915460 | NPI | - | NPPES |
38563700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1477-35 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Antigo Vision Clinic Sc 714 3rd Ave, Po Box 238, Antigo, WI 54409-2044 Ph: (715) 623-2180 | Antigo Vision Clinic Sc 714 3rd Ave, Antigo, WI 54409-2044 Ph: (715) 623-2180 |
Richard A Kjome, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 | |
Antigo Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 5th Ave, Antigo, WI 54409 Phone: 715-623-3620 Fax: 715-623-3333 | |
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 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 5th Ave, Antigo, WI 54409 Phone: 715-623-3620 |