| Stuart A Kosikowski, OD | |
|
421 Camelot Dr, Fond Du Lac, WI 54935-4560 | |
| (920) 926-8472 | |
| Not Available |
| Full Name | Stuart A Kosikowski |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 421 Camelot Dr, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831170141 | NPI | - | NPPES |
| WI01J4 | Other | WI | JOHN DEERE |
| 12565 | Other | WI | DEAN |
| 38525900 | Medicaid | WI | |
| 410029533 | Other | WI | RAILROAD MEDICARE |
| 39080723646 | Other | WI | UNITY |
| 501574 | Other | WV | TOUCHPOINT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2012 (Wisconsin) | Primary |
| Provider Name | Agnesian Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart A Kosikowski, OD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8472 | Stuart A Kosikowski, OD 421 Camelot Dr, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8472 |
Laura J Rau, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 24 Deneveu Cir, Fond Du Lac, WI 54935 Phone: 920-924-9585 | |
Dr. Benjamin R Scoresby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8472 Fax: 920-926-8391 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: N6663 Rolling Meadows Dr Ste I, Fond Du Lac, WI 54937 Phone: 920-921-8290 | |
J. Brian Conran, O.d., S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 E Division St, Fond Du Lac, WI 54935 Phone: 920-922-5430 Fax: 920-922-5478 | |
Eye Care Centers Of Wisconsin, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 355 N Peters Ave Ste 1, Fond Du Lac, WI 54935 Phone: 920-922-7121 Fax: 920-922-5666 | |
Jessica Kulick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-922-7121 | |
Dr. Julie M Henry, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012 |