Redman & Gelinas SC
Organization Active NPI Eyewear Supplier · Eagle River, WI
NPI 1053481473 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1053481473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- REDMAN & GELINAS SC
- Practice address
- 141 S Willow St Ste 102
Eagle River, WI 54521-8878 - Phone
- (715) 479-9390
- Fax
- (715) 477-1752
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Eduardo Alejandro Bustamante Jr., MD
- Title
- Owner
- Phone
- (715) 439-9540
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Practitioners 5
-
Michel P Gelinas, MD
-
Jessamyn Kovacs, O.D.
-
Benjamin K Redman, O.D.
-
Kirby D Redman, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye Wear Associates |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028577 | WI | DME Supplier - Physician - Ophthalmology |
1153227749 | Practice locations: Eagle River, WI |
National Provider Directory
- Tax ID family
- Redman Gelinas SC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
141 S Willow St Ste 102
Eagle River, WI 54521-8878
Mailing address
PO Box 2797
Eagle River, WI 54521-2797
Phone (715) 479-9390
Other names
- Eye Wear Associates
Other providers in Eagle River, WI
- Rebecca E Pflughoeft
- Potrykus Family Dentistry LLC
- Ashley Marie Potrykus
- Jason Potrykus
- Neal Potrykus
- Emily Rebecca Rhode
- River North Pharmacy
- E Lanny Robins
- Michelle Kay Root-McDaniel
- John G. Rutkowski
All providers in Eagle River, WI · Eyewear Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.