| Oconomowoc Vision Clinic, Llc | |
|
1674 Old Schoolhouse Rd, Suite 101, Oconomowoc, WI 53066-1396 | |
| (262) 567-2295 | |
| (262) 567-0744 |
| Full Name | Oconomowoc Vision Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1674 Old Schoolhouse Rd, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376724377 | NPI | - | NPPES |
| 1487726535 | Other | INDIVIDUAL NPI NUMBER | |
| 38726800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3017 (Wisconsin) | Primary |
| Provider Name | David M Bjork |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487726535 PECOS PAC ID: 8729019104 Enrollment ID: I20050825000382 |
| Provider Name | Mckenna Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952039349 PECOS PAC ID: 0143696195 Enrollment ID: I20221017002977 |
| Provider Name | Macie Ellen Brahm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831931914 PECOS PAC ID: 0648714592 Enrollment ID: I20240702002107 |
| Mailing Address | Practice Location Address |
|---|---|
| Oconomowoc Vision Clinic, Llc 1674 Old Schoolhouse Rd, Suite 101, Oconomowoc, WI 53066-1396 Ph: (262) 567-2295 | Oconomowoc Vision Clinic, Llc 1674 Old Schoolhouse Rd, Suite 101, Oconomowoc, WI 53066-1396 Ph: (262) 567-2295 |
Dr. Dana S Mcguire, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 608 Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-6565 | |
Perspective Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 105 E Wisconsin Ave, 206, Oconomowoc, WI 53066 Phone: 262-354-8179 | |
Dr. James Joseph Baietto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 712 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-2295 | |
Joshua J Heinecke, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1280 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-3214 | |
David Klement, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203a E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 262-567-2960 Fax: 262-567-1053 | |
David Bjork, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1674 Old Schoolhouse Rd Ste 101, Oconomowoc, WI 53066 Phone: 262-354-0410 Fax: 262-567-0744 |