Michael Banwart (NPI# 1295838316, PAC ID# 7416927843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1295838316 |
| PAC ID by PECOS | 7416927843 |
| Professional Enrollment ID | I20060227000246 |
| Full Name | Michael Banwart |
| Organization Legal Name | SHOPTIKAL LLC |
| Address |
2910 Roosevelt Rd Suite D1 Marinette WI 54143-5108 |
| Phone Number | 7157350260 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456684471 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2910 Roosevelt Rd, Suite D1, Marinette, WI 54143-5108 | 7157350260 | SHOPTIKAL LLC |
| Organization Legal Name | SHOPTIKAL LLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelyn Jo Hasken | Optometry | Shoptikal LLC | 1918 Gateway Ctr Dr, Belvidere, IL 61008-9303 |
| Brianna Kelly Burns | Optometry | Shoptikal LLC | 10996 N Port Washington Rd, Mequon, WI 53092-5031 |
| Nicholas J Roovers | Optometry | Shoptikal LLC | 4530 Calumet Ave, Suite 103, Manitowoc, WI 54220-9346 |
| Alicja J Fitzgerald | Optometry | Shoptikal LLC | 1500 S Church St, Watertown, WI 53094-6404 |
| Jacob Wittman | Optometry | Shoptikal LLC | 1810 Jackson St, Oshkosh, WI 54901-2204 |
| David J Slagowski | Optometry | Shoptikal LLC | 616 W Johnson St, Fond Du Lac, WI 54935-3134 |
| John T Gingrich | Optometry | Shoptikal LLC | 316 S 24th St W, Suite 101b, Billings, MT 59102-5605 |
| Chad R Slagle | Optometry | Shoptikal LLC | 2787 Milwaukee Rd, Suite A, Beloit, WI 53511-6919 |
| Robert K Rudman | Optometry | Shoptikal LLC | 1340 N Wenatchee Ave, Wenatchee, WA 98801-1558 |
| Amanda R Cheek | Optometry | Shoptikal LLC | 1425 Janesville Ave, Fort Atkinson, WI 53538-2705 |
| Street Address |
2910 ROOSEVELT RD SUITE D1 |
| City | MARINETTE |
| State | WI |
| Zip | 54143-5108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Briody | Obstetrics/gynecology | 3900 Hall Ave, Suite H, Marinette, WI 54143-1062 | |
| William E Bourgeois | Optometry | 1507 Main St, Marinette, WI 54143-1301 | |
| Steven Lee Nottleson | Optometry | 1545 Main St, Marinette, WI 54143-1334 | |
| Andrea B Knowlton | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Guy E Powers | Psychiatry | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Bryanne E Fountain | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Deanna J Brown | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Lucas J Hurzeler | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Melissa Anne Freeman | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Mary Campbell | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Find all physicians in zip 54143 | |||
| City | MARINETTE |
| Zip Code | 54143 |
| Specialty | OPTOMETRY |
| City + Specialty | MARINETTE + OPTOMETRY |
Please comment or provide details below to improve the information on Michael Banwart.
| 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.