| Fox Valley Family Eye Care Sc | |
|
607 Wilson St, Little Chute, WI 54140-1856 | |
| (920) 788-4162 | |
| (920) 788-6134 |
| Full Name | Fox Valley Family Eye Care Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 607 Wilson St, Little Chute, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245661875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2839-35 (Wisconsin) | Primary |
| Provider Name | Matthew J Schuller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710045927 PECOS PAC ID: 0244260032 Enrollment ID: I20050822000596 |
| Provider Name | Kimberly M Landwehr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033129515 PECOS PAC ID: 0143358937 Enrollment ID: I20100515000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Family Eye Care Sc 607 Wilson St, Little Chute, WI 54140-1856 Ph: (920) 788-4162 | Fox Valley Family Eye Care Sc 607 Wilson St, Little Chute, WI 54140-1856 Ph: (920) 788-4162 |
Dr. John E Salisbury, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 607 Wilson St, Little Chute, WI 54140 Phone: 920-788-4162 Fax: 920-788-6134 | |
Optometric Services, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 607 Wilson St, Little Chute, WI 54140 Phone: 920-788-4162 Fax: 920-788-6134 |