Kivlin Eye Clinic, Sc is a
Optometrist based in Clear Lake, Wisconsin. Kivlin Eye Clinic, Sc is licensed to practice in Wisconsin (license number 1539-035) and their current practice location is
370 3rd Ave, Clear Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 263-2600.
NPI number for Kivlin Eye Clinic, Sc is 1952595480 and their current mailing address is Po Box 15, 370 3rd Ave, Clear Lake, Wisconsin. Kivlin Eye Clinic, Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952595480.
Healthcare Provider's Profile
| Full Name | Kivlin Eye Clinic, Sc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 370 3rd Ave, Clear Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952595480
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 08/31/2009
Medical Identifiers
Medical identifiers for Kivlin Eye Clinic, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952595480 | NPI | - | NPPES |
| 38702400 | Medicaid | WI | |
| 0523040002 | Other | WI | DMERC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1539-035 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kivlin Eye Clinic, Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kivlin Eye Clinic, Sc
Po Box 15, 370 3rd Ave,
Clear Lake, WI 54005
Ph: (715) 263-2600 | Kivlin Eye Clinic, Sc
370 3rd Ave,
Clear Lake, WI 54005
Ph: (715) 263-2600 |
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