Brad J Lavallie is a Green Bay, Wisconsin based male Optometrist with 26 years of experience in Optometry. He completed his graduation from University Of Missouri St Louis - School Of Optometry in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brad J Lavallie is 2706 for Optometry in Wisconsin. Brad J Lavallie examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Brad J Lavallie speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
26+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2253 W Mason St Ste 100, Green Bay, Wisconsin, 54303-4706
Phone:
920-327-7000
Fax:
920-327-7005
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1850318213
Enrollment ID:
I20051026000159
NPI Number:
1003828740
NPI Enumeration Date:
12 Aug, 2006
NPI Last Update On:
29 Mar, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brad J Lavallie are as mentioned below.
License Number
Specialization
State
Status
2706
Optometry
Wisconsin
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brad J Lavallie has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Baycare Clinic Llp (4385554328)
175
Other Medical Identifiers:
Other legacy medical identifiers associated with Brad J Lavallie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38627900
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
164 N Broadway, Green Bay, Wisconsin
Zip:
54303-2728
Phone Number:
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Fax Number:
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Patients can reach Brad J Lavallie at 2253 W Mason St Ste 100, Green Bay, Wisconsin or can call to book an appointment on 920-327-7000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.