Mikolaj Nowobilski, OD | |
2860 S Green Bay Rd, Mt Pleasant, WI 53406-4962 | |
(262) 637-3733 | |
Not Available |
Full Name | Mikolaj Nowobilski |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2860 S Green Bay Rd, Mt Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285319020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3923-35 (Wisconsin) | Primary |
Provider Name | Shoptikal Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553 |
Mailing Address | Practice Location Address |
---|---|
Mikolaj Nowobilski, OD 2860 S Green Bay Rd, Mt Pleasant, WI 53406-4962 Ph: (262) 637-3733 | Mikolaj Nowobilski, OD 2860 S Green Bay Rd, Mt Pleasant, WI 53406-4962 Ph: (262) 637-3733 |
John E Warren, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1139 S Sunnyslope Dr Ste 203, Mt Pleasant, WI 53406 Phone: 262-752-2020 Fax: 262-292-5019 | |
Eye Centers Of Racine And Kenosha Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 13200 Globe Dr Ste 216, Mt Pleasant, WI 53177 Phone: 262-637-0500 Fax: 262-635-8027 | |
John Warren, Od Sc Optometrist Medicare: Medicare Enrolled Practice Location: 1139 S Sunnyslope Dr Ste 203, Mt Pleasant, WI 53406 Phone: 272-752-2020 Fax: 262-292-5019 |