| Emily Detsch, OD | |
|
8693 N Port Washington Rd, Fox Point, WI 53217-2209 | |
| (414) 351-2020 | |
| Not Available |
| Full Name | Emily Detsch |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 8693 N Port Washington Rd, Fox Point, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750801866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT003016 (Georgia) | Secondary |
| 152W00000X | Optometrist | 3518-35 (Wisconsin) | Primary |
| 152W00000X | Optometrist | 3919 (Tennessee) | Secondary |
| Provider Name | Myeyedr Optometry of Tennessee LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619481587 PECOS PAC ID: 1759646995 Enrollment ID: O20180517001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Detsch, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Emily Detsch, OD 8693 N Port Washington Rd, Fox Point, WI 53217-2209 Ph: (414) 351-2020 |
Dr. Heather Elizabeth Stern, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8693 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-351-2020 Fax: 414-351-2031 |
Premier Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8693 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-351-2020 Fax: 414-351-2031 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8693 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-351-2020 |