Lakeshore Vision Centers, Ltd - Medicare Primary Care in Algoma, WI

Lakeshore Vision Centers, Ltd is a medicare enrolled primary clinic (Clinic/center) in Algoma, Wisconsin. The current practice location for Lakeshore Vision Centers, Ltd is 1021 Jefferson St., Algoma, Wisconsin. For appointments, you can reach them via phone at (920) 487-2020. The mailing address for Lakeshore Vision Centers, Ltd is 1021 Jefferson St., Algoma, Wisconsin and phone number is (920) 487-2020.

Lakeshore Vision Centers, Ltd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780734418. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 487-2020.

Contact Information

Lakeshore Vision Centers, Ltd
1021 Jefferson St.
Algoma
WI 54201
(920) 487-2020
(920) 487-5022

Primary Care Clinic Profile

Full NameLakeshore Vision Centers, Ltd
SpecialityClinic/Center
Location1021 Jefferson St., Algoma, Wisconsin
Authorized Official Name and PositionSusan A. Gorz (CO-OWNER, VICE-PRESIDENT)
Authorized Official Contact9204872020
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1780734418
Provider Enumeration Date01/12/2007
Last Update Date04/22/2009

Medicare PECOS Information:

Medicare PECOS PAC ID9133200900
Medicare Enrollment IDO20080117000651

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Medical Identifiers

Medical identifiers for Lakeshore Vision Centers, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780734418NPI-NPPES
000047383OtherWIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeshore Vision Centers, Ltd acts as a billing entity for following providers:
Provider NameSusan A Gorz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427033034
PECOS PAC ID: 5496836272
Enrollment ID: I20080118000145

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Provider NameJohn E Gorz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295710515
PECOS PAC ID: 4587745369
Enrollment ID: I20080118000155

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Provider NameMichael John Gorz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750867149
PECOS PAC ID: 7214285170
Enrollment ID: I20180809000003

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