| Andrew L Rust Optometrist Sc | |
|
250 Crossroads Dr Plover WI 54467-4124 | |
| (715) 345-9588 | |
| Not Available |
| Full Name | Andrew L Rust Optometrist Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 Crossroads Dr, Plover, Wisconsin |
| Authorized Official Name and Position | Andrew Rust (OWNER/PRESIDENT) |
| Authorized Official Contact | 7153413318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew L Rust Optometrist Sc 1510 Ashwood Dr Plover WI 54467-2466 Ph: () - | Andrew L Rust Optometrist Sc 250 Crossroads Dr Plover WI 54467-4124 Ph: (715) 345-9588 |
| NPI Number | 1164655882 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Medicare PECOS PAC ID | 1850447129 |
|---|---|
| Medicare Enrollment ID | O20090929000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164655882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2810 (Wisconsin) | Primary |
| Provider Name | Andrew L Rust |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891802005 PECOS PAC ID: 9335161587 Enrollment ID: I20051230000609 |
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2401 Plover Rd, Plover, WI 54467 Phone: 715-295-3800 | |
Sapient Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Village Park Dr Apt 322a, Plover, WI 54467 Phone: 815-529-5949 |