| Vita Park Eye Associates, Sc | |
|
140 Gateway Dr, Waupun, WI 53963-2276 | |
| (920) 324-3191 | |
| (920) 324-5026 |
| Full Name | Vita Park Eye Associates, Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 140 Gateway Dr, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548286909 | NPI | - | NPPES |
| 530337 | Other | DEANCARE HMO LOCATION | |
| 000016160 | Other | WI | OFFICE LOCATION |
| CP765 | Other | WI | RAIL ROAD MEDICARE |
| 21310700 | Medicaid | WI | |
| 0593830001 | Other | DEMPOS SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Park Eye Associates, Sc 140 Gateway Dr, Waupun, WI 53963-2276 Ph: (920) 324-3191 | Vita Park Eye Associates, Sc 140 Gateway Dr, Waupun, WI 53963-2276 Ph: (920) 324-3191 |
Jan's Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Waupun, WI 53963 Phone: 920-324-8608 Fax: 920-324-8699 | |
Olson Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 537 E Main St, Waupun, WI 53963 Phone: 920-324-3501 Fax: 920-324-3380 | |
Janet S White Optometrist Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Waupun, WI 53963 Phone: 920-324-8608 Fax: 920-324-8699 | |
Farzana Akter, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-8030 Fax: 920-324-8031 | |
Olson Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 537 E Main St, Waupun, WI 53963 Phone: 920-324-3501 Fax: 920-324-3380 | |
Dr. Tai M Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-5577 |