| Ophthalmology Associates S C | |
|
6020 S Packard Ave, Cudahy, WI 53110-3028 | |
| (414) 294-4660 | |
| Not Available |
| Full Name | Ophthalmology Associates S C |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 6020 S Packard Ave, Cudahy, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063557890 | NPI | - | NPPES |
| 32758700 | Medicaid | WI | |
| CO1849 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Emmylou M Swartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851355051 PECOS PAC ID: 0244125888 Enrollment ID: I20040220000905 |
| Provider Name | Thomas Vp Alpren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508853474 PECOS PAC ID: 7911894571 Enrollment ID: I20091029000573 |
| Provider Name | Glenn E Graves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780671677 PECOS PAC ID: 0648167205 Enrollment ID: I20100122000467 |
| Provider Name | Hart B Moss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437393675 PECOS PAC ID: 1153563267 Enrollment ID: I20130819000809 |
| Provider Name | Qian Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891236089 PECOS PAC ID: 4183900327 Enrollment ID: I20170424001660 |
| Provider Name | Charles D Mccanna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295141893 PECOS PAC ID: 4789931387 Enrollment ID: I20180726002694 |
| Provider Name | Cole N Rojas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306341979 PECOS PAC ID: 0547505257 Enrollment ID: I20220907003537 |
| Provider Name | Mark Larson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831651868 PECOS PAC ID: 4082037999 Enrollment ID: I20240822003876 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophthalmology Associates S C 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 | Ophthalmology Associates S C 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 |