| Eye Physician Associates, S.c. | |
|
4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 | |
| (414) 928-2020 | |
| (414) 210-3402 |
| Full Name | Eye Physician Associates, S.c. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4300 W. Layton Ave, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457331894 | NPI | - | NPPES |
| 32735700 | Medicaid | WI | |
| ========= | Other | HUMANA | |
| 38622400 | Medicaid | WI | |
| 38632200 | Medicaid | WI | |
| ========= | Other | UNITED HEALTH CARE | |
| 34678800 | Medicaid | WI | |
| C01777 | Other | RAILROAD MEDICARE | |
| 000073822 | Other | WI | MILWAUKEE PTAN |
| ========= | Other | WI | BLUE CROSS |
| 100189991 | Medicaid | WI | |
| 32306500 | Medicaid | WI | |
| 34249800 | Medicaid | WI | |
| ========= | Other | WI | COMPCARE |
| 0264580001 | Other | DMEPOS ASSIGNED | |
| 73605 | Other | WI | WISCONSIN PHYSICIAN SERVI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Jaime D Blanchard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700880499 PECOS PAC ID: 8123001377 Enrollment ID: I20040609001321 |
| Provider Name | Charles B Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992784250 PECOS PAC ID: 1052383536 Enrollment ID: I20050818000531 |
| Provider Name | Rosemarie M Brueggeman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306825674 PECOS PAC ID: 6002846029 Enrollment ID: I20050818000599 |
| Provider Name | Dale R Buettner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194737924 PECOS PAC ID: 0143251991 Enrollment ID: I20050822001279 |
| Provider Name | Marc D Hirsch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386624120 PECOS PAC ID: 8426043852 Enrollment ID: I20050901000103 |
| Provider Name | Vijayalakshmi L D Vadrevu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932292364 PECOS PAC ID: 1153574009 Enrollment ID: I20210820001571 |
| Provider Name | Robert William Bjerregaard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912352832 PECOS PAC ID: 8022437722 Enrollment ID: I20210909001136 |
| Provider Name | Emy Jane Lutchka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487376695 PECOS PAC ID: 2769850916 Enrollment ID: I20221121000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Physician Associates, S.c. 4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 Ph: (414) 928-2020 | Eye Physician Associates, S.c. 4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 Ph: (414) 928-2020 |