| David W. Kisiolek, O.d., S.c. | |
|
300 Audubon Rd, Howards Grove, WI 53083-1280 | |
| (920) 565-3991 | |
| (920) 565-4404 |
| Full Name | David W. Kisiolek, O.d., S.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 300 Audubon Rd, Howards Grove, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619065224 | NPI | - | NPPES |
| 38514400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1742 (Wisconsin) | Primary |
| Provider Name | David W Kisiolek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285748459 PECOS PAC ID: 1759388028 Enrollment ID: I20070418000130 |
| Provider Name | Kristie L Andrews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073996633 PECOS PAC ID: 5991006405 Enrollment ID: I20151228001844 |
| Mailing Address | Practice Location Address |
|---|---|
| David W. Kisiolek, O.d., S.c. 300 Audubon Rd, Howards Grove, WI 53083-1280 Ph: (920) 565-3991 | David W. Kisiolek, O.d., S.c. 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 | |
David W Kisiolek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 Audubon Rd, Howards Grove, WI 53083 Phone: 920-565-3991 Fax: 920-565-4404 |