| Koskinen Eye Clinic, Llc | |
|
3278 W Main St, Suite B, East Troy, WI 53120 | |
| (262) 642-9719 | |
| (262) 642-2228 |
| Full Name | Koskinen Eye Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3278 W Main St, East Troy, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609091313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2184 (Wisconsin) | Primary |
| Provider Name | Gerald W Koskinen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780733477 PECOS PAC ID: 6800962580 Enrollment ID: I20080903000404 |
| Provider Name | Sandra Marie Huenink |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902258742 PECOS PAC ID: 8820381205 Enrollment ID: I20160722000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Koskinen Eye Clinic, Llc Po Box 165, East Troy, WI 53120-0165 Ph: (262) 642-9719 | Koskinen Eye Clinic, Llc 3278 W Main St, Suite B, East Troy, WI 53120 Ph: (262) 642-9719 |
Dr. Gerald W Koskinen, OD. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3278 W Main St, East Troy, WI 53120 Phone: 262-642-9719 Fax: 262-642-2228 | |
Dr. Sandra Marie Huenink, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3278 Main St, East Troy, WI 53120 Phone: 262-642-9719 Fax: 262-642-2228 |