MEDICARE: DR. DALE T MASSIGNAN O.D.

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	152W00000X	Optometrist	1821	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760487607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE T MASSIGNAN O.D.

Provider Business Mailing Address
First Line	:	PO BOX 999
Second Line	:
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521-0999
Country	:	US
Telephone Number	:	715-479-6489
Fax Number	:	715-479-6200

Provider Business Practice Location Address
First Line	:	523 EAST WALL STREET
Second Line	:
City	:	EAGLE RIVER
State	:	WI
Zip	:	54521
Country	:	US
Telephone Number	:	715-479-6489
Fax Number	:	715-479-6200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	01/02/2013

Similar Medicare Providers

1053481473 — REDMAN & GELINAS SC
Practice Location Address:

141 S WILLOW ST STE 102
EAGLE RIVER, WI
54521-8878

Practice Phone: 715-479-9390
Practice Fax: 715-477-1752

1063494441 — ROBERT DESUTTER DC
Practice Location Address:

701C N RAILROAD ST
EAGLE RIVER, WI
54521-8833

Practice Phone: 715-479-4214
Practice Fax: 715-479-4214

1609836360 — MRS. SUSAN KAY CHOBANOV
Practice Location Address:

1897 MCKINLEY BLVD
EAGLE RIVER, WI
54521-8453

Practice Phone: 715-477-2198
Practice Fax:

1346204385 — ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC.
Practice Location Address:

201 HOSPITAL RD
EAGLE RIVER, WI
54521-8835

Practice Phone: 715-479-7411
Practice Fax: 715-479-0395

1780648659 — ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC
Practice Location Address:

201 HOSPITAL RD
EAGLE RIVER, WI
54521-8835

Practice Phone: 715-479-7411
Practice Fax: 715-479-0395

1902861131 — JILL K BRUNSTAD PA
Practice Location Address:

302 W PINE ST STE 2
EAGLE RIVER, WI
54521-9349

Practice Phone: 715-891-0088
Practice Fax:

Directions to “ DR. DALE T MASSIGNAN O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.