| Premier Eye Care Prescott, Ltd. | |
|
1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 | |
| (651) 283-2400 | |
| Not Available |
| Full Name | Premier Eye Care Prescott, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1435 N Acres Rd Ste 700, Prescott, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851816169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3048-35 (Wisconsin) | Primary |
| Provider Name | Kristel A Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699706515 PECOS PAC ID: 7012915572 Enrollment ID: I20061116000168 |
| Provider Name | Brittany E Radke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780022210 PECOS PAC ID: 6204060635 Enrollment ID: I20131017001685 |
| Provider Name | Jeffrey M Bieter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962450627 PECOS PAC ID: 5496766503 Enrollment ID: I20180119000171 |
| Provider Name | Benjamin James Michalicek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396323176 PECOS PAC ID: 6002219938 Enrollment ID: I20240703001335 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eye Care Prescott, Ltd. 1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 Ph: (715) 262-1020 | Premier Eye Care Prescott, Ltd. 1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 Ph: (651) 283-2400 |
Dr. John Patrick Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Broad St N, Prescott, WI 54021 Phone: 715-262-1112 Fax: 715-262-1112 |