MEDICARE: REDMAN & GELINAS SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1053481473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDMAN & GELINAS SC

Provider Business Mailing Address
First Line	:	PO BOX 2797
Second Line	:
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521-2797
Country	:	US
Telephone Number	:	715-479-9390
Fax Number	:	715-477-1752

Provider Business Practice Location Address
First Line	:	141 S WILLOW ST STE 102
Second Line	:
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521-8878
Country	:	US
Telephone Number	:	715-479-9390
Fax Number	:	715-477-1752

Authorized Official
Title or Position	:	OWNER
Name	:	EDUARDO ALEJANDRO BUSTAMANTE JR.
Credential	:	MD
Telephone Number	:	715-439-9540

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	03/03/2026

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Directions to “REDMAN & GELINAS SC ” Practice Location

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