| Kolar Optometric, Llc | |
|
404 Market St Nekoosa WI 54457-1126 | |
| (715) 886-4731 | |
| (715) 886-4706 |
| Full Name | Kolar Optometric, Llc |
|---|---|
| Speciality | Optometrist |
| Location | 404 Market St, Nekoosa, Wisconsin |
| Authorized Official Name and Position | Peter Michael Kolar (MANAGING MEMBER) |
| Authorized Official Contact | 7158864731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolar Optometric, Llc 404 Market St Po Box 187 Nekoosa WI 54457-1126 Ph: (715) 886-4731 | Kolar Optometric, Llc 404 Market St Nekoosa WI 54457-1126 Ph: (715) 886-4731 |
| NPI Number | 1215078258 |
|---|---|
| Provider Enumeration Date | 02/11/2007 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 0749365724 |
|---|---|
| Medicare Enrollment ID | O20080314000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078258 | NPI | - | NPPES |
| 38607400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Peter M Kolar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023176971 PECOS PAC ID: 4385729367 Enrollment ID: I20080314000523 |
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