| Magiera Eyecare Llc. | |
|
1 Bank Ave, Kaukauna, WI 54130-2581 | |
| (920) 766-2481 | |
| Not Available |
| Full Name | Magiera Eyecare Llc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1 Bank Ave, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831636828 | NPI | - | NPPES |
| 38507900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1618 (Wisconsin) | Primary |
| Provider Name | Andrew J Magiera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659331551 PECOS PAC ID: 3678530607 Enrollment ID: I20041211000032 |
| Provider Name | Mark A Ebben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255389201 PECOS PAC ID: 7113021304 Enrollment ID: I20100204000603 |
| Provider Name | Mary Kathryn Schroeder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730602467 PECOS PAC ID: 2264793611 Enrollment ID: I20180227000432 |
| Provider Name | Jenna Lelsey Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366936932 PECOS PAC ID: 8527393412 Enrollment ID: I20190715003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Magiera Eyecare Llc. 1 Bank Ave, Kaukauna, WI 54130-2581 Ph: () - | Magiera Eyecare Llc. 1 Bank Ave, Kaukauna, WI 54130-2581 Ph: (920) 766-2481 |
Magiera Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 Fax: 920-766-3769 | |
Dr. Mark Arthur Ebben, OD OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 Fax: 920-766-3769 | |
Dr. Jenna Lelsey Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 | |
Dr. Mary Kathryn Schroeder, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 | |
David G Vanderloop Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025 | |
Clear Approach Optometry Sc Optometrist Medicare: Medicare Enrolled Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025 |