| Zachary Lee Thomason, OD | |
|
3003 W Good Hope Rd, Glendale, WI 53209-2042 | |
| (414) 352-3100 | |
| Not Available |
| Full Name | Zachary Lee Thomason |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 3003 W Good Hope Rd, Glendale, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285309591 | NPI | - | NPPES |
| 100214450 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3811 (Wisconsin) | Primary |
| 152W00000X | Optometrist | 046011563 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1095 |
| Eye Wisconsin Llc | 5395120018 | 2 |
| Provider Name | Eye Wisconsin Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487392585 PECOS PAC ID: 5395120018 Enrollment ID: O20220916000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Lee Thomason, OD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Zachary Lee Thomason, OD 3003 W Good Hope Rd, Glendale, WI 53209-2042 Ph: (414) 352-3100 |
Wisconsin Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5530 N Port Washington Rd Unit C, Glendale, WI 53217 Phone: 262-432-2005 Fax: 262-432-2006 | |
Jm Janssen Dba Paramount Optical Lab Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6809 N Green Bay Ave, Glendale, WI 53209 Phone: 414-228-9295 Fax: 414-228-1871 | |
Eyeguyz I, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 695 W Silver Spring Dr, Glendale, WI 53217 Phone: 414-961-6000 Fax: 414-906-9443 | |
Alwin Edakkunnathu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5150 N Port Washington Rd Ste 251, Glendale, WI 53217 Phone: 414-332-0606 Fax: 414-967-3604 | |
Ellen Patricia Ringle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5530 N Port Washington Rd Unit C, Glendale, WI 53217 Phone: 414-897-0152 Fax: 262-923-7609 | |
Bayshore Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 W Silver Spring Dr, Glendale, WI 53217 Phone: 414-962-2020 |