Vita Park Eye Associates, Sc is a
Ophthalmology based in Beaver Dam, Wisconsin. Vita Park Eye Associates, Sc is licensed to practice in * (Not Available) (license number ) and their current practice location is
240 Corporate Drive, Beaver Dam, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 887-1151.
NPI number for Vita Park Eye Associates, Sc is 1447276894 and their current mailing address is 240 Corporate Dr, Beaver Dam, Wisconsin. Vita Park Eye Associates, Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447276894.
Healthcare Provider's Profile
| Full Name | Vita Park Eye Associates, Sc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
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| Location | 240 Corporate Drive, Beaver Dam, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447276894
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 04/21/2021
Medical Identifiers
Medical identifiers for Vita Park Eye Associates, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447276894 | NPI | - | NPPES |
| 0593830002 | Other | | DEPMOS SUPPLIER |
| 000016160 | Other | | OFFICE LOCATION |
| CP765 | Other | WI | RAIL ROAD MEDICARE |
| 21310700 | Medicaid | WI | |
| 519075 | Other | | DEAN CARE HMO LOCATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vita Park Eye Associates, Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vita Park Eye Associates, Sc
240 Corporate Dr,
Beaver Dam, WI 53916-3115
Ph: (920) 887-1151 | Vita Park Eye Associates, Sc
240 Corporate Drive,
Beaver Dam, WI 53916-3115
Ph: (920) 887-1151 |
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