Jessica M Bisgrove (NPI# 1114213261, PAC ID# 3476721416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1114213261 |
PAC ID by PECOS | 3476721416 |
Professional Enrollment ID | I20110719000490 |
Full Name | Jessica M Bisgrove |
Organization Legal Name | VISION MART INC |
Address |
8770 S Howell Ave Oak Creek WI 53154-7524 |
Phone Number | 4145719800 |
Gender | F |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2011 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2163481516 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3719 80th St, Kenosha, WI 53142-4950 | 2626970548 | HERSLOF'S, INC |
2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 4147479977 | VISION MART INC |
8770 S Howell Ave, Oak Creek, WI 53154-7524 | 4145719800 | VISION MART INC |
524 Main St 101 And, Suite 107, Racine, WI 53403 | 2626321252 | HERSLOF'S, INC |
Organization Legal Name | VISION MART INC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alwin A Edakkunnathu | Optometry | Vision Mart Inc | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 |
Robert M Blankenbehler | Optometry | Vision Mart Inc | 2923 N 15th St, Sheboygan, WI 53083-3946 |
Sara C Falter | Optometry | Vision Mart Inc | 12735 W Capitol Dr, Brookfield, WI 53005-2442 |
Street Address |
8770 S HOWELL AVE |
City | OAK CREEK |
State | WI |
Zip | 53154-7524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory D Gavric | Chiropractic | 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402 | |
Daniel E Hyatt | Chiropractic | 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402 | |
Jessica N Grandlich | Physician Assistant | Forefront Dermatology Sc | 7001 S Howell Ave, Suite 900, Oak Creek, WI 53154-1408 |
Jay L Mackman | Oral Surgery | Affiliated Health of Wisconsin Ltd | 7001 S Howell Ave, Suite 800, Oak Creek, WI 53154-1408 |
Pamela Baker | Clinical Psychologist | Wellqor Psychological Services of Wisconsin, S.c. | 7550 S 13th St, Oak Creek, WI 53154-1823 |
Jeffrey Paul Sischo | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 600 W Drexel Ave, Suite 150, Oak Creek, WI 53154-1918 |
Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
Jessica L Woznick | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
Karri A Huber | Rheumatology | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
Elizabeth B Partain | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
Find all physicians in zip 53154 |
City | OAK CREEK |
Zip Code | 53154 |
Specialty | OPTOMETRY |
City + Specialty | OAK CREEK + OPTOMETRY |
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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.