| Berlin Family Eye Care Sc | |
|
269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 | |
| (920) 361-1696 | |
| (920) 361-1247 |
| Full Name | Berlin Family Eye Care Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 269 Memorial Dr, Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720139850 | NPI | - | NPPES |
| 38455800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Wisconsin) | Primary |
| Provider Name | Tammi L Sawallish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225063514 PECOS PAC ID: 4789687716 Enrollment ID: I20060814000018 |
| Provider Name | Micheal Dean Gerber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669523791 PECOS PAC ID: 5597732834 Enrollment ID: I20100921001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Berlin Family Eye Care Sc Po Box 228, Berlin, WI 54923-0228 Ph: (920) 361-1696 | Berlin Family Eye Care Sc 269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 Ph: (920) 361-1696 |
Dr. David Earl Johanknecht, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Dr. Tammi L Sawallish, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr Ste 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Dr. Micheal Dean Gerber, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 |