| Davis Duehr Dean Regional Eye Clinics | |
|
1626 Tuttle St Suite 1 Baraboo WI 53913-1501 | |
| (608) 356-2020 | |
| (608) 356-6787 |
| Full Name | Davis Duehr Dean Regional Eye Clinics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1626 Tuttle St, Baraboo, Wisconsin |
| Authorized Official Name and Position | Amy J Grinnell (CHIEF FINANCIAL OFFICE) |
| Authorized Official Contact | 6082603586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Duehr Dean Regional Eye Clinics 1626 Tuttle St Suite 1 Baraboo WI 53913-1501 Ph: (608) 356-2020 | Davis Duehr Dean Regional Eye Clinics 1626 Tuttle St Suite 1 Baraboo WI 53913-1501 Ph: (608) 356-2020 |
| NPI Number | 1568494466 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568494466 | NPI | - | NPPES |
| 38715000 | Medicaid | WI | |
| 38715900 | Medicaid | WI | |
| 38720000 | Medicaid | WI | |
| 38723700 | Medicaid | WI | |
| 38711700 | Medicaid | WI | |
| 38719500 | Medicaid | WI | |
| 38710800 | Medicaid | WI | |
| 38720600 | Medicaid | WI | |
| 38611600 | Medicaid | WI | |
| 38714900 | Medicaid | WI | |
| 38715600 | Medicaid | WI | |
| 21257000 | Medicaid | WI | |
| 38718300 | Medicaid | WI | |
| 38715400 | Medicaid | WI | |
| 38718200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Wisconsin) | Primary |
| 261QS0132X | Clinic/center - Ophthalmologic Surgery | (Wisconsin) | Secondary |
Optimal Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 South Blvd Ste C, Baraboo, WI 53913 Phone: 608-844-0496 | |
Sauk/columbia Iop Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Broadway St Ste 101, Baraboo, WI 53913 Phone: 608-448-1011 Fax: 608-355-4106 | |
Ho Chunk Nation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-356-7122 | |
St. Marys Dean Ventures Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 888-968-4681 Fax: 608-355-7001 |