| Eyecare Center Of Madison Prof Llc | |
|
302 N Harth Ave, Madison, SD 57042-2219 | |
| (605) 256-6911 | |
| (605) 256-9017 |
| Full Name | Eyecare Center Of Madison Prof Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 302 N Harth Ave, Madison, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508117151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael S Brooke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306854062 PECOS PAC ID: 2567350796 Enrollment ID: I20040309000301 |
| Provider Name | Jodie S Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417942251 PECOS PAC ID: 0345245544 Enrollment ID: I20060921000445 |
| Provider Name | Christian Dejongh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538892112 PECOS PAC ID: 0042692584 Enrollment ID: I20220801001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Madison Prof Llc 302 N Harth Ave, Madison, SD 57042-2219 Ph: () - | Eyecare Center Of Madison Prof Llc 302 N Harth Ave, Madison, SD 57042-2219 Ph: (605) 256-6911 |
Michael S Brooke Optometrist Medicare: Not Enrolled in Medicare Practice Location: 302 N Harth Avenue, Madison, SD 57042 Phone: 605-256-6911 Fax: 605-256-9017 | |
Dr. Ashley N Crabtree, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 411 Se 10th St, Madison, SD 57042 Phone: 605-256-2020 Fax: 605-256-3597 | |
Madison Vision Clinic, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 411 Se 10th St, Madison, SD 57042 Phone: 605-256-2020 | |
Michael Steven Brooke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 N Harth Avenue, Madison, SD 57042 Phone: 605-256-6911 Fax: 605-256-9017 | |
Jodie S Larson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 N Harth Ave, Madison, SD 57042 Phone: 605-256-6911 Fax: 605-256-9017 | |
Christian Dejongh, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 N Harth Ave, Madison, SD 57042 Phone: 605-256-6911 |