| Dr Timothy J Frederiksen, OD | |
|
15569 Railroad St, Ste 301, Hayward, WI 54843-5707 | |
| (715) 634-8616 | |
| Not Available |
| Full Name | Dr Timothy J Frederiksen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 38 Years |
| Location | 15569 Railroad St, Hayward, 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 |
|---|---|---|---|
| 1649262478 | NPI | - | NPPES |
| 38577900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2235-035 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoptikal Llc | 1456684471 | 169 |
| Provider Name | Shoptikal Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy J Frederiksen, OD 1200 Park Creek Ct, Fall Creek, WI 54742-5316 Ph: (715) 271-9899 | Dr Timothy J Frederiksen, OD 15569 Railroad St, Ste 301, Hayward, WI 54843-5707 Ph: (715) 634-8616 |
Optom-eyes Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 15569 Railroad St Ste 301, Hayward, WI 54843 Phone: 715-634-8616 Fax: 715-934-4759 | |
Dr. Beth Heinz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15569 Railroad St Ste 301, Hayward, WI 54843 Phone: 715-634-8616 | |
Hayward Family Eye Care, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15569 Railroad St, Suite 301, Hayward, WI 54843 Phone: 715-634-8616 | |
Mikeal Robert Ostrander, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15569 Railroad St Ste 301, Hayward, WI 54843 Phone: 715-236-7906 | |
Dr. Leif E Erickson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15601 Railroad St, Suite 301, Hayward, WI 54843 Phone: 715-634-8616 | |
Tracy Lynn Kocemba, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15936 Us Highway 63, Hayward, WI 54843 Phone: 715-634-1028 Fax: 715-634-9733 |