| Stateline Vision Center Llc | |
|
250 N 18th Ave Ste 105, Monroe, WI 53566-1482 | |
| (920) 216-3133 | |
| Not Available |
| Full Name | Stateline Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 250 N 18th Ave Ste 105, Monroe, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104219039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3082 (Wisconsin) | Primary |
| Provider Name | Andrew M Josephs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700083169 PECOS PAC ID: 7911008966 Enrollment ID: I20070720000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Stateline Vision Center Llc 250 N 18th Ave Ste 105, Monroe, WI 53566-1482 Ph: (608) 325-7200 | Stateline Vision Center Llc 250 N 18th Ave Ste 105, Monroe, WI 53566-1482 Ph: (920) 216-3133 |
Dr. Christine Ann Ward, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 405 W 8th St, Monroe, WI 53566 Phone: 608-328-3333 | |
Dr. James L Healy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1113 17th Ave, Monroe, WI 53566 Phone: 608-325-5606 Fax: 608-325-5637 | |
Monroe Family Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1113 17th Ave, Monroe, WI 53566 Phone: 608-325-5606 Fax: 608-325-5637 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 8th St, Monroe, WI 53566 Phone: 608-328-3333 | |
Dr. Michel-ann Elizabeth Fraser, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2350 | |
Ralph Henry, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 |