| Lakeshore Vision Centers, Ltd | |
|
1021 Jefferson St. Algoma WI 54201 | |
| (920) 487-2020 | |
| (920) 487-5022 |
| Full Name | Lakeshore Vision Centers, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Jefferson St., Algoma, Wisconsin |
| Authorized Official Name and Position | Susan A. Gorz (CO-OWNER, VICE-PRESIDENT) |
| Authorized Official Contact | 9204872020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Vision Centers, Ltd 1021 Jefferson St. Algoma WI 54201 Ph: (920) 487-2020 | Lakeshore Vision Centers, Ltd 1021 Jefferson St. Algoma WI 54201 Ph: (920) 487-2020 |
| NPI Number | 1780734418 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 04/22/2009 |
| Medicare PECOS PAC ID | 9133200900 |
|---|---|
| Medicare Enrollment ID | O20080117000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780734418 | NPI | - | NPPES |
| 000047383 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Susan A Gorz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427033034 PECOS PAC ID: 5496836272 Enrollment ID: I20080118000145 |
| Provider Name | John E Gorz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295710515 PECOS PAC ID: 4587745369 Enrollment ID: I20080118000155 |
| Provider Name | Michael John Gorz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750867149 PECOS PAC ID: 7214285170 Enrollment ID: I20180809000003 |
Fmc Algoma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 831 Parker St, Algoma, WI 54201 Phone: 920-487-3676 | |
Door County Medical Center Algoma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 Jefferson St, Algoma, WI 54201 Phone: 920-487-3496 | |
Johnson Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N8434 County Rd S, Algoma, WI 54201 Phone: 920-487-5635 |