| Joshua Eernisse, OD | |
|
N5010 Beaverbrook Ave Ste 1, Spooner, WI 54801-5301 | |
| () - | |
| Not Available |
| Full Name | Joshua Eernisse |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | N5010 Beaverbrook Ave Ste 1, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073361085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3996 (Wisconsin) | Primary |
| Provider Name | Northview Eye Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215465083 PECOS PAC ID: 3577836006 Enrollment ID: O20170906000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Eernisse, OD 15936 Us Highway 63, Hayward, WI 54843-7162 Ph: (715) 634-1028 | Joshua Eernisse, OD N5010 Beaverbrook Ave Ste 1, Spooner, WI 54801-5301 Ph: () - |
Mr. Nathan Karl Eichhorst, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Walnut Street, Spooner, WI 54801 Phone: 715-635-2020 Fax: 715-635-2956 | |
Leslie D Thornburg, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, WI 54801 Phone: 715-635-3127 Fax: 715-635-3316 | |
Dr. Dawn Lenee Reed, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: W7164 Green Valley Rd, Spooner, WI 54801 Phone: 715-635-3127 Fax: 715-635-3316 |