Antigo Vision Clinic Sc in Antigo, WI - Medicare Optometrist Provider

Antigo Vision Clinic Sc is a medicare enrolled "Optometrist" provider in Antigo, Wisconsin. Their current practice location is 714 3rd Ave, Antigo, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (715) 623-2180.

Antigo Vision Clinic Sc is licensed to practice in Wisconsin (license number 1477-35) and it also participates in the medicare program. Antigo Vision Clinic Sc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295915460.

Contact Information

	Antigo Vision Clinic Sc
	714 3rd Ave, Antigo, WI 54409-2044
	(715) 623-2180
	(715) 623-7244

Map and Direction

Healthcare Provider's Profile

Full Name	Antigo Vision Clinic Sc
Type	Facility
Speciality	Optometrist
Location	714 3rd Ave, Antigo, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295915460
Provider Enumeration Date: 11/05/2007
Last Update Date: 08/26/2008

Medicare PECOS Information:

PECOS PAC ID: 0547330342
Enrollment ID: O20080605000582

Medical Identifiers

Medical identifiers for Antigo Vision Clinic Sc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295915460	NPI	-	NPPES
38563700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1477-35 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Antigo Vision Clinic Sc acts as a billing entity for following providers:

Provider Name	Richard A Kjome
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1205992088 PECOS PAC ID: 0244300382 Enrollment ID: I20080602000635

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antigo Vision Clinic Sc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Optometrist in Antigo, WI

Richard A Kjome, O.D. Optometrist Medicare: Medicare Enrolled 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

Antigo Vision Clinic Sc - Medicare Optometrist in Antigo, WI