| Crandon Vision Center | |
|
103 E Washington St, Crandon, WI 54520-1392 | |
| (715) 478-2401 | |
| (715) 478-3663 |
| Full Name | Crandon Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 103 E Washington St, Crandon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861590200 | NPI | - | NPPES |
| 38553700-38703000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1494-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crandon Vision Center 103 E Washington St, Crandon, WI 54520-1392 Ph: (715) 478-2401 | Crandon Vision Center 103 E Washington St, Crandon, WI 54520-1392 Ph: (715) 478-2401 |
William Dale Becker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 E Washington St, Crandon, WI 54520 Phone: 715-478-2401 Fax: 715-478-3663 | |
Dr. William R Pierre, OD TPA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mishkosen Dr, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 | |
Renee Lynn Walden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Amanda C Lallensack, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 |