Nichole M. Cruz is a Random Lake, Wisconsin based female Optometrist with 24 years of experience in Optometry. She completed her graduation from Southern California College Of Optometry in 2000. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Nichole M. Cruz is 2823-035 for Optometry in Wisconsin. Nichole M. Cruz 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. She 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. She 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:
Nichole M. Cruz 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:
O.D.
Experience:
24+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
2000
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
675 Wolf Rd, Random Lake, Wisconsin, 53075-1264
Phone:
920-994-8500
Fax:
920-994-8550
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:
1355407594
Enrollment ID:
I20090312000650
NPI Number:
1801906102
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
19 May, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nichole M. Cruz are as mentioned below.
License Number
Specialization
State
Status
2823-035
Optometry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nichole M. Cruz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38623000
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:
675 Wolf Rd, P.o.box 2 Random Lake, Wisconsin
Zip:
53075-1264
Phone Number:
920-994-8500
Fax Number:
920-994-8550
Patients can reach Nichole M. Cruz at 675 Wolf Rd, Random Lake, Wisconsin or can call to book an appointment on 920-994-8500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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