Soderberg Eye Care Center is a
Optometrist based in Glenwood City, Wisconsin. Soderberg Eye Care Center is licensed to practice in Wisconsin (license number 1396) and their current practice location is
124 Oak Street, Glenwood City, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 265-7127.
NPI number for Soderberg Eye Care Center is 1356444798 and their current mailing address is Po Box 97, Glenwood City, Wisconsin. Soderberg Eye Care Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356444798.
Healthcare Provider's Profile
| Full Name | Soderberg Eye Care Center |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 124 Oak Street, Glenwood City, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356444798
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 03/04/2009
Medical Identifiers
Medical identifiers for Soderberg Eye Care Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356444798 | NPI | - | NPPES |
| 38501900 | Medicaid | WI | |
| 92533SO | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1396 (Wisconsin) | Primary |
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. Soderberg Eye Care Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Soderberg Eye Care Center
Po Box 97,
Glenwood City, WI 54013-0097
Ph: (715) 265-7127 | Soderberg Eye Care Center
124 Oak Street,
Glenwood City, WI 54013
Ph: (715) 265-7127 |
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