Michael T Rissell (NPI# 1558341370, PAC ID# 2163494634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1558341370 |
| PAC ID by PECOS | 2163494634 |
| Professional Enrollment ID | I20050818000505 |
| Full Name | Michael T Rissell |
| Organization Legal Name | EYE PHYSICIAN ASSOCIATES SC |
| Address |
1249 W Liebau Rd Suite 102 Mequon WI 53092-3397 |
| Phone Number | 2622433001 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1988 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9931171402 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| Address | Phone | Organization |
|---|---|---|
| 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 | 2622433001 | EYE PHYSICIAN ASSOCIATES SC |
| 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2622437373 | EYE PHYSICIAN ASSOCIATES SC |
| 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 4146496000 | EYE PHYSICIAN ASSOCIATES SC |
| 2000 E Layton Ave, Suite 110, Saint Francis, WI 53235-6055 | 4144818828 | EYE PHYSICIAN ASSOCIATES SC |
| 10625 W N Ave, Suite 200, Wauwatosa, WI 53226-2315 | 4143858725 | EYE PHYSICIAN ASSOCIATES SC |
| Organization Legal Name | EYE PHYSICIAN ASSOCIATES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale R Buettner | Optometry | Eye Physician Associates Sc | 2801 W Kinnickinnic River Pkwy, Suite 140, Milwaukee, WI 53215-3693 |
| Rosemarie M Brueggeman | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Marc D Hirsch | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Jaime D Blanchard | Optometry | Eye Physician Associates Sc | 2801 W Kinnickinnic River Pkwy, Suite 140, Milwaukee, WI 53215-3693 |
| Chirantan Mukhopadhyay | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Charles B Yang | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Street Address |
1249 W LIEBAU RD SUITE 102 |
| City | MEQUON |
| State | WI |
| Zip | 53092-3397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Griepentrog | Ophthalmology | The Medical College of Wisconsin Inc | 1249 W Liebau Rd, Mequon, WI 53092-3396 |
| Rosemarie M Brueggeman | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Marc D Hirsch | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Chirantan Mukhopadhyay | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Charles B Yang | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
| Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
| Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
| Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
| Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
| Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
| David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
| Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Find all physicians in zip 53092 | |||
| City | MEQUON |
| Zip Code | 53092 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MEQUON + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.