| Dr Susan N Diederich, OD | |
|
7511 Harwood Ave, Wauwatosa, WI 53213-2606 | |
| (414) 453-1300 | |
| (414) 453-1330 |
| Full Name | Dr Susan N Diederich |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 7511 Harwood Ave, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750318580 | NPI | - | NPPES |
| 38624700 | Medicaid | WI | |
| WI2981 | Other | EYEMED VISION NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2981-035 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Markerry Enterprises Llc | 5698195717 | 3 |
| Provider Name | Markerry Enterprises Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992012488 PECOS PAC ID: 5698195717 Enrollment ID: O20201012001298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan N Diederich, OD 7511 Harwood Ave, Wauwatosa, WI 53213-2606 Ph: (414) 453-1300 | Dr Susan N Diederich, OD 7511 Harwood Ave, Wauwatosa, WI 53213-2606 Ph: (414) 453-1300 |
Mary Szcygiel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-453-2866 Fax: 414-453-0730 | |
Sarah Kayali, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12325 W Burleigh St, Wauwatosa, WI 53222 Phone: 414-873-9090 | |
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226 Phone: 414-453-7020 Fax: 414-453-9980 | |
Dr. Michael A Steck, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-453-2315 | |
Maria Martha Steck, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11530 W Burleigh St, Space 110, Wauwatosa, WI 53222 Phone: 414-453-2275 | |
Dr. Megan E Lind, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6412 W North Ave, Wauwatosa, WI 53213 Phone: 414-774-2020 Fax: 414-774-0530 | |
William H. Jeselun, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-453-2866 Fax: 414-453-0730 |