Nicole Bloomquist, OD - Optometrist in Kenosha, WI

Nicole Bloomquist, OD is a Optometrist based in Kenosha, Wisconsin. Nicole Bloomquist is licensed to practice in Wisconsin (license number 2846-035) and her current practice location is 7214 Green Bay Rd, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 694-5464.

NPI number for Nicole Bloomquist is 1427113430 and her current mailing address is 11103 West Ave, Suite 6, San Antonio, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427113430.

Contact Information

Nicole Bloomquist, OD
7214 Green Bay Rd,
Kenosha, WI 53142-3516
(262) 694-5464
(262) 694-5790

Map and Direction




Healthcare Provider's Profile

Full NameNicole Bloomquist
GenderFemale
SpecialityOptometrist
Location7214 Green Bay Rd, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427113430
  • Provider Enumeration Date: 12/27/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Nicole Bloomquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427113430NPI-NPPES
38615100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2846-035 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Bloomquist is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Bloomquist, OD
11103 West Ave, Suite 6,
San Antonio, TX 78213-1370

Ph: (210) 524-6663
Nicole Bloomquist, OD
7214 Green Bay Rd,
Kenosha, WI 53142-3516

Ph: (262) 694-5464

Reviews and Comments


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