| Dr Charles Douglas Stine, OD | |
|
4009 Community Center Dr, Weston, WI 54476-4139 | |
| (715) 241-2020 | |
| (715) 241-9827 |
| Full Name | Dr Charles Douglas Stine |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 45 Years |
| Location | 4009 Community Center Dr, Weston, 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 |
|---|---|---|---|
| 1740267129 | NPI | - | NPPES |
| 38521100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1909035 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stine Eye Center, Llc | 1759357718 | 3 |
| Provider Name | Stine Eye Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043383755 PECOS PAC ID: 1759357718 Enrollment ID: O20040909001283 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Douglas Stine, OD 4009 Community Center Dr, Weston, WI 54476-4139 Ph: (715) 241-2020 | Dr Charles Douglas Stine, OD 4009 Community Center Dr, Weston, WI 54476-4139 Ph: (715) 241-2020 |
Stine Eye Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4009 Community Center Drive, #100, Weston, WI 54476 Phone: 715-241-2020 Fax: 715-241-9827 | |
Eric Barnier, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Community Center Dr, Weston, WI 54476 Phone: 715-241-2020 | |
Dr. Gabriella Grace Stine, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4009 Community Center Dr, Weston, WI 54476 Phone: 715-241-2020 Fax: 715-241-9827 | |
Dr. Ryan T Mihalus, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5608 Business Highway 51 S, Weston, WI 54476 Phone: 715-355-8800 | |
Lawrence E Addison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Community Center Dr, Weston, WI 54476 Phone: 715-241-2020 Fax: 715-241-9827 |