| North Shore Eye Health And Wellness, Sc | |
|
N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 | |
| (262) 421-4412 | |
| (262) 421-4413 |
| Full Name | North Shore Eye Health And Wellness, Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | N54w6135 Mill St, Cedarburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629494703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3226-035 (Wisconsin) | Primary |
| Provider Name | Kyle David Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972881134 PECOS PAC ID: 7810138765 Enrollment ID: I20140423001663 |
| Provider Name | Stephanie Engebretson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205451762 PECOS PAC ID: 1557787595 Enrollment ID: I20200820001958 |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Eye Health And Wellness, Sc N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 Ph: (262) 421-4412 | North Shore Eye Health And Wellness, Sc N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 Ph: (262) 421-4412 |
Dr. Stephanie Engebretson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: N54w6135 Mill St, Cedarburg, WI 53012 Phone: 262-421-4412 | |
Dr. Gary Bryan Walters, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: W62n221 Washington Ave, Cedarburg, WI 53012 Phone: 262-377-9686 Fax: 262-377-8462 | |
Cedar Creek Eye Assciates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5009 Columbia Rd, Cedarburg, WI 53012 Phone: 262-376-1800 Fax: 262-376-1800 | |
Family Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: W63 N543b Hanover Avenue, Cedarburg, WI 53012 Phone: 262-377-3937 Fax: 262-377-3948 | |
Susan L Orvis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: W63 N543 B Hanover Ave., Cedarburg, WI 53012 Phone: 262-377-3937 Fax: 262-377-3948 | |
Dr. Kyle D Ross, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: N54w6135 Mill St, Suite 700, Cedarburg, WI 53012 Phone: 262-421-4412 Fax: 262-421-4413 |