Antigo Eye Care Center in Antigo, WI - Optometrist

Antigo Eye Care Center is a Optometrist based in Antigo, Wisconsin. Antigo Eye Care Center is licensed to practice in Wisconsin (license number T61453) and their current practice location is 810 5th Ave, Antigo, Wisconsin. It can be reached at their office (for appointments etc.) via phone at (715) 623-3620.

NPI number for Antigo Eye Care Center is 1457459836 and their current mailing address is 810 5th Ave, P O Box 628, Antigo, Wisconsin. Antigo Eye Care Center does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457459836.

Contact Information

	Antigo Eye Care Center
	810 5th Ave, Antigo, WI 54409-1937
	(715) 623-3620
	(715) 623-3333

Healthcare Provider's Profile

Full Name	Antigo Eye Care Center
Type	Facility
Speciality	Optometrist
Location	810 5th Ave, Antigo, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1457459836
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/10/2008

Medical Identifiers

Medical identifiers for Antigo Eye Care Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457459836	NPI	-	NPPES
38708600-38553700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T61453 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antigo Eye Care Center is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Antigo Eye Care Center 810 5th Ave, P O Box 628, Antigo, WI 54409-1937 Ph: (715) 623-3620	Antigo Eye Care Center 810 5th Ave, Antigo, WI 54409-1937 Ph: (715) 623-3620

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Optometrist in Antigo, WI

Richard A Kjome, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180
Antigo Vision Clinic Sc Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244
Midline Vision Group Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244

Antigo Eye Care Center - Optometrist in Antigo, WI