Claris Eyecare LLC
Organization Active NPI Optometrist · Watertown, WI
NPI 1326538646 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1326538646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CLARIS EYECARE LLC
- Practice address
- 1307 Memorial Dr
Watertown, WI 53098-3428 - Phone
- (920) 988-3605
- NPI assigned
- May 11, 2018
- Organization subpart
- No
Authorized official
- Name
- Julie Marie Zoellick, OD
- Title
- Owner/Optometrist
- Phone
- (920) 968-7546
Practitioners 1
-
Julie Marie Zoellick, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190204001008 | WI | Part B Supplier - Clinic/Group Practice | 6800133554 |
Receives reassigned benefits from 1 practitioner Practice locations: Watertown, WI |
National Provider Directory
Locations
1307 Memorial Dr
Watertown, WI 53098
Phone (920) 968-7546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1307 Memorial Dr
Watertown, WI 53098-3428
Mailing address
N9262 Horseshoe Rd
Watertown, WI 53094-9197
Phone (920) 988-3605
Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.