Lance Engdahl is a Milwaukee, Wisconsin based male Optometrist with 26 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago 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 Lance Engdahl is 2711-035 for Optometry in Wisconsin. Lance Engdahl 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:
Lance Engdahl 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:
Illinois College Of Optometry At Chicago
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7425 W. Appleton Avenue, Milwaukee, Wisconsin, 53216
Phone:
414-464-5440
Fax:
414-464-0996
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:
3173572633
Enrollment ID:
I20050121000660
NPI Number:
1689730681
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
28 Oct, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lance Engdahl are as mentioned below.
License Number
Specialization
State
Status
2711-035
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 Lance Engdahl has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Shoptikal Llc (1456684471)
135
Other Medical Identifiers:
Other legacy medical identifiers associated with Lance Engdahl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38616700
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:
11103 West Ave, Suite 6 San Antonio, Texas
Zip:
78213-1370
Phone Number:
210-524-6663
Fax Number:
210-524-6587
Patients can reach Lance Engdahl at 7425 W. Appleton Avenue, Milwaukee, Wisconsin or can call to book an appointment on 414-464-5440. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.