Douglas Milton Orlich, OD | |
106 S. Holmen Dr., Suite 6, Holmen, WI 54636-9467 | |
(608) 526-1177 | |
(608) 526-4131 |
Full Name | Douglas Milton Orlich |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 106 S. Holmen Dr., Holmen, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194815233 | NPI | - | NPPES |
38505100 | Medicaid | WI | |
391406621014 | Other | BCBS OF WISCONSIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1520 (Wisconsin) | Primary |
Provider Name | Visionworks Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154699445 PECOS PAC ID: 4385639616 Enrollment ID: O20120517000227 |
Mailing Address | Practice Location Address |
---|---|
Douglas Milton Orlich, OD 1017 Streblow St., Onalaska, WI 54650-2084 Ph: (608) 783-9770 | Douglas Milton Orlich, OD 106 S. Holmen Dr., Suite 6, Holmen, WI 54636-9467 Ph: (608) 526-1177 |
Orlich Ophthalmic Consulting S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 106 S Holmen Dr, Suite 6, Holmen, WI 54636 Phone: 608-526-1177 Fax: 608-526-4131 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 129 Hale Dr # 106, Holmen, WI 54636 Phone: 920-429-2211 | |
Optical Fashions Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 814 S Main St Ste A, Holmen, WI 54636 Phone: 608-782-7127 Fax: 608-399-3097 |