| Dr Jason Gospodarek, OD | |
|
525 Airport Dr, Oneida, WI 54155-9035 | |
| (920) 869-2711 | |
| Not Available |
| Full Name | Dr Jason Gospodarek |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 525 Airport Dr, Oneida, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086455 | NPI | - | NPPES |
| 721697 | Other | WI | MANAGED HEALTH SERVICE |
| 38614900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2863-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Gospodarek, OD Po Box 365, Oneida, WI 54155-0365 Ph: (920) 869-2711 | Dr Jason Gospodarek, OD 525 Airport Dr, Oneida, WI 54155-9035 Ph: (920) 869-2711 |
Dr. Lisa Lynn Slaby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 | |
Dr. Robert A Rehm Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 |