Individual
CAMILE D SATEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5513
(715) 682-4022
Mailing address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5513
(715) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2424
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012004
MEDICARE CLINIC ID
WI
01
—
120040006
MEDICARE PTAN
WI
01
—
204728664
CLINIC TAX ID
WI
05
—
38593600
—
WI
01
—
5705960001
MEDICARE DMERC ID
WI
Enumeration date
02/13/2007
Last updated
10/09/2020
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