| Griebenow Eyecare, S.c. | |
|
105 Northridge Drive, New London, WI 54961 | |
| (920) 982-3711 | |
| (920) 982-3009 |
| Full Name | Griebenow Eyecare, S.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 Northridge Drive, New London, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366599433 | NPI | - | NPPES |
| 38510500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Craig E Sylte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770712903 PECOS PAC ID: 4688729833 Enrollment ID: I20090911000394 |
| Provider Name | Molly Elizabeth Benck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992234595 PECOS PAC ID: 0840569927 Enrollment ID: I20170705002024 |
| Provider Name | Christopher Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922514447 PECOS PAC ID: 4880949536 Enrollment ID: I20201103000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Griebenow Eyecare, S.c. Po Box 230, New London, WI 54961-0230 Ph: (920) 982-3711 | Griebenow Eyecare, S.c. 105 Northridge Drive, New London, WI 54961 Ph: (920) 982-3711 |
Dr. Kerry Lee Griebenow, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009 | |
Rebecca D Amaral, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811 | |
Wolf River Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811 | |
Craig E Sylte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 | |
Molly Benck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 |