| James Alan Reedstrom, OD | |
|
1325 Tower Avenue, Superior, WI 54880-1504 | |
| (715) 394-5722 | |
| (715) 394-5729 |
| Full Name | James Alan Reedstrom |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1325 Tower Avenue, Superior, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134259021 | NPI | - | NPPES |
| 1C105 | Other | MN | MPIN |
| 042338600 | Medicaid | MN | |
| 38563900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1511035 (Wisconsin) | Primary |
| 152W00000X | Optometrist | 1611 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| James Alan Reedstrom, OD 1325 Tower Avenue, Superior, WI 54880-1504 Ph: (715) 394-5722 | James Alan Reedstrom, OD 1325 Tower Avenue, Superior, WI 54880-1504 Ph: (715) 394-5722 |
Vision Pro Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2427 Tower Ave, Superior, WI 54880 Phone: 715-394-7999 Fax: 715-394-7999 | |
Vision Pro Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1719 Belknap St, Superior, WI 54880 Phone: 715-392-2204 Fax: 715-392-2205 | |
James A. Reedstrom, O.d., Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1325 Tower Ave, Superior, WI 54880 Phone: 715-394-5722 | |
Todd Hamilton Hnatko, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 |