| David W Kisiolek, OD | |
|
300 Audubon Rd, Howards Grove, WI 53083-1280 | |
| (920) 565-3991 | |
| (920) 565-4404 |
| Full Name | David W Kisiolek |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 45 Years |
| Location | 300 Audubon Rd, Howards Grove, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285748459 | NPI | - | NPPES |
| 38514400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1742 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David W Kisiolek Od Sc | 7214934587 | 2 |
| Provider Name | David W Kisiolek Od Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619065224 PECOS PAC ID: 7214934587 Enrollment ID: O20061030000199 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Kisiolek, OD 300 Audubon Rd, Howards Grove, WI 53083-1280 Ph: (920) 565-3991 | David W Kisiolek, OD 300 Audubon Rd, Howards Grove, WI 53083-1280 Ph: (920) 565-3991 |
Dr. Kristie Lynn Andrews, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 Audubon Rd, Howards Grove, WI 53083 Phone: 920-565-3991 | |
Viktor & Mariya, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Audubon Rd, Howards Grove, WI 53083 Phone: 920-565-3991 Fax: 920-565-4404 | |
Dr. Darya Mcdaniel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 Audubon Rd, Howards Grove, WI 53083 Phone: 920-565-3991 Fax: 920-565-3991 | |
David W. Kisiolek, O.d., S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 300 Audubon Rd, Howards Grove, WI 53083 Phone: 920-565-3991 Fax: 920-565-4404 |