Douglas M Orlich (NPI# 1194815233, PAC ID# 8325040843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194815233 |
| PAC ID by PECOS | 8325040843 |
| Professional Enrollment ID | I20070212000483 |
| Full Name | Douglas M Orlich |
| Organization Legal Name | SE PROFESSIONALS, S.C. |
| Address |
120 Martin Dr Fredonia WI 53021-9455 |
| Phone Number | 2626929000 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608777958 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8693 N Port Washington Rd, Fox Point, WI 53217-2209 | 4143512020 | SE PROFESSIONALS, S.C. |
| 120 Martin Dr, Fredonia, WI 53021-9455 | 2626929000 | SE PROFESSIONALS, S.C. |
| Organization Legal Name | SE PROFESSIONALS, S.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Todd Rosa | Optometry | Se Professionals, S.c. | 120 Martin Dr, Fredonia, WI 53021-9455 |
| David K Aymond | Ophthalmology | Se Professionals, S.c. | 10800 N Port Washington Rd, Mequon, WI 53092-5007 |
| Street Address |
120 MARTIN DR |
| City | FREDONIA |
| State | WI |
| Zip | 53021-9455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Paul Pedersen | Optometry | Myeyedr Optometry of Wisconsin LLC | 120 Martin Dr, Fredonia, WI 53021-9455 |
| Adam Todd Rosa | Optometry | Se Professionals, S.c. | 120 Martin Dr, Fredonia, WI 53021-9455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lawrence Brouillette | Chiropractic | 511 Fredonia Ave, Fredonia, WI 53021-9406 | |
| Rebecca L St Louis | Podiatry | Preferred Podiatry Group PC | 400 Martin Dr, Fredonia, WI 53021-9421 |
| City | FREDONIA |
| Zip Code | 53021 |
| Specialty | OPTOMETRY |
| City + Specialty | FREDONIA + OPTOMETRY |
Please comment or provide details below to improve the information on Douglas M Orlich.
| 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.