| Kristen K Dorman, OD | |
|
120 Martin Dr, Fredonia, WI 53021-9455 | |
| (262) 692-9000 | |
| (262) 692-2797 |
| Full Name | Kristen K Dorman |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 30 Years |
| Location | 120 Martin Dr, Fredonia, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609833110 | NPI | - | NPPES |
| 822601 | Other | WI | VIPA |
| 38608200 | Other | WI | WI HEALTH INS RSK SHAR PR |
| 391101335 | Other | WI | WI PHYS SERV WPS |
| 410041553 | Other | WI | RAILROAD MEDICARE |
| 5300133 | Other | WI | AETNA |
| 38608200 | Other | WI | ABRI |
| 103436 | Other | WI | HEALTH ALLIANCE |
| 747042 | Other | WI | MOHAWK |
| 38608200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2673-035 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Schuster Family Eyecare Llc | 0547699092 | 2 |
| Advanced Focus Eyecare Llc | 4981910999 | 3 |
| Provider Name | Advanced Focus Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508242256 PECOS PAC ID: 4981910999 Enrollment ID: O20150904000476 |
| Provider Name | Myeyedr Optometry Of Wisconsin Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001 |
| Provider Name | Schuster Family Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821621210 PECOS PAC ID: 0547699092 Enrollment ID: O20200403000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen K Dorman, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Kristen K Dorman, OD 120 Martin Dr, Fredonia, WI 53021-9455 Ph: (262) 692-9000 |
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 | |
Se Professionals, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Dr. Matthew Francis Byers, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Melissa J Knous, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Meyer Ave, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Dr. Michelle M Nave, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Martin Drive, Fredonia, WI 53021 Phone: 262-692-9000 | |
Dr. Eric Paul Pedersen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 |