| Wolf River Eyecare Llc | |
|
1923 N Shawano St, Suite B, New London, WI 54961-7510 | |
| (920) 982-4561 | |
| (920) 982-9811 |
| Full Name | Wolf River Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1923 N Shawano St, New London, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447344593 | NPI | - | NPPES |
| 38719600 | Medicaid | WI |
| Provider Name | Rebecca D Amaral |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114013943 PECOS PAC ID: 0345392023 Enrollment ID: I20090709000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf River Eyecare Llc 1923 N Shawano St, Suite B, New London, WI 54961-7510 Ph: (920) 982-4561 | Wolf River Eyecare Llc 1923 N Shawano St, Suite B, New London, WI 54961-7510 Ph: (920) 982-4561 |
Dr. Kerry Lee Griebenow, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009 | |
Rebecca D Amaral, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811 | |
Griebenow Eyecare, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 105 Northridge Drive, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009 | |
Craig E Sylte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 | |
Molly Benck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711 |