| St Croix Falls Eye Associates Inc. | |
|
135 S Washington St, St Croix Falls, WI 54024-0767 | |
| (715) 483-3259 | |
| (715) 483-5136 |
| Full Name | St Croix Falls Eye Associates Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 135 S Washington St, St Croix Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134259260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2608-035 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 2589-035 (Wisconsin) | Primary |
| Provider Name | Sandra K Dolphin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205863693 PECOS PAC ID: 9133192305 Enrollment ID: I20040817000587 |
| Provider Name | Lawrence S Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730143967 PECOS PAC ID: 8224001490 Enrollment ID: I20040824000260 |
| Provider Name | Alexander Brandon Austing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588233639 PECOS PAC ID: 8527465996 Enrollment ID: I20231204003515 |
| Mailing Address | Practice Location Address |
|---|---|
| St Croix Falls Eye Associates Inc. Po Box 767, Saint Croix Falls, WI 54024-0767 Ph: (715) 483-3259 | St Croix Falls Eye Associates Inc. 135 S Washington St, St Croix Falls, WI 54024-0767 Ph: (715) 483-3259 |
Dr. Sandra K Dolphin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 213 S Adams St, St Croix Falls, WI 54024 Phone: 715-483-3259 Fax: 715-483-5136 |