| Eye Wisconsin Llc | |
|
401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 | |
| (262) 534-9100 | |
| Not Available |
| Full Name | Eye Wisconsin Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 401 N Milwaukee St Ste 3, Waterford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487392585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bradley Grant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386836518 PECOS PAC ID: 2163598939 Enrollment ID: I20220916001171 |
| Provider Name | Zachary L Thomason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285309591 PECOS PAC ID: 2860898103 Enrollment ID: I20220921003482 |
| Provider Name | Lai Jiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790479996 PECOS PAC ID: 4385004639 Enrollment ID: I20230718002179 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Wisconsin Llc 1090 Bucks Pond Rd, Monticello, IL 61856-8058 Ph: (901) 496-9129 | Eye Wisconsin Llc 401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 Ph: (262) 534-9100 |
Dr. Andrea L Parisi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 N Milwaukee St Ste 3, Waterford, WI 53185 Phone: 262-534-9100 |