| Lake Country Eye Care, Llc | |
|
520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 | |
| (262) 367-6610 | |
| (262) 367-0964 |
| Full Name | Lake Country Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 520 Hartbrook Dr Ste F, Hartland, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457757288 | NPI | - | NPPES |
| 152WOOOOX | Medicaid | WI | |
| 11533287 | Other | WI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2878-035 (Wisconsin) | Primary |
| Provider Name | Amber A Dentz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548339096 PECOS PAC ID: 4981641487 Enrollment ID: I20050415000583 |
| Provider Name | Andrew J Baldus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316924590 PECOS PAC ID: 8527066976 Enrollment ID: I20061117000396 |
| Provider Name | Christopher Winter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023159324 PECOS PAC ID: 6901912898 Enrollment ID: I20101101000804 |
| Provider Name | Joel Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598324154 PECOS PAC ID: 5395078778 Enrollment ID: I20190618001575 |
| Provider Name | Ashlee Finnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053806372 PECOS PAC ID: 3476802414 Enrollment ID: I20191029000364 |
| Provider Name | Bartlomiej Celer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790459758 PECOS PAC ID: 9830576693 Enrollment ID: I20220517000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Country Eye Care, Llc 520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 Ph: (262) 367-6610 | Lake Country Eye Care, Llc 520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 Ph: (262) 367-6610 |
Dr. Tim Raymond Seifert, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Cottonwood Ave, Hartland, WI 53029 Phone: 262-367-6610 | |
Dr. Amber A. Dentz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Hartbrook Dr, Hartland, WI 53029 Phone: 262-367-6610 | |
Dr. Tim R. Seifert, Optometrist, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Cottonwood Ave, Hartland, WI 53029 Phone: 262-367-6610 |