PARTICIPATING PROVIDER DIRECTORY February 2014 Page 1 of 5
COUNTY: BROWN BELLEVUE COSTCO OPTICAL #1162 2355 COSTCO WAY (920) 469-5713 Dispense MEHRNOOSH ASHABI OD 2355 COSTCO WAY (920) 469-5715 Exam DE PERE AMY PEOT OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense APRIL SWIM OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense CATHERINE LOUGHRIN OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense CRAIG KELLER OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense GARY BURKHARDT OD WAL-MART VISION CTR #5090 1415 LAWRENCE DRIVE (920) 337-0330 Exam JACLYN SALTEE OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense JOSEPH KRUPKA OD WAL-MART VISION CTR #5090 1415 LAWRENCE DRIVE (920) 336-6971 Exam MICHELLE GUSTIN OD WAL-MART VISION CTR #5090 1415 LAWRENCE DR (920) 336-3416 Exam MICHELLE MUELLER OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO OPTICAL #4005 230 N. WISCONSIN STREET (920) 336-3390 Exam & Dispense TRACY ROSIEK OD WAL-MART VISION CTR #5090 1415 LAWRENCE DR (920) 336-3416 Exam WAL-MART VISION CTR #5090 1415 LAWRENCE DR. (920) 336-6971 Exam & Dispense AARON GRUBER OD VISION MART 2476 S ONEIDA ST (920) 965-0260 Exam & Dispense AMANDA LEONHARD OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense APRIL SWIM OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense APRIL SWIM OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense APRIL SWIM OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense APRIL SWIM OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense APRIL SWIM OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense CARIN M. LACOUNT BUECHLER OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense CATHERINE LOUGHRIN OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense CATHERINE A. LOUGHRIN OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense CATHERINE A. LOUGHRIN OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense CATHERINE A. LOUGHRIN OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense CATHERINE F. LOUGHRIN OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense Page 2 of 5
CHRIS SMITH OD VISION MART 2476 S ONEIDA ST (920) 965-0260 Exam & Dispense CRAIG A. KELLER OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense CRAIG A. KELLER OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense CRAIG A. KELLER OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense CRAIG A. KELLER OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense CRAIG A. KELLER OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense CYNTHIA DECKER-RIDDLE OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense DALE BUETTNER OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense DANIEL D. DIEDRICH OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense DAVID WATERFILL OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense DAVID C. LIEBURN OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense DAVID C. LIEBURN OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense DAVID C. LIEBURN OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense DONNA M. BELANGER OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense EYEMART EXPRESS #5 2811 SOUTH ONEIDA STREET (920) 496-9699 Exam & Dispense GREGORY HUBERTUS OD THE EYE CARE PLACE 550 N MILITARY AVE STE 10 (920) 498-2020 Exam & Dispense GREGORY HUBERTUS OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense JACLYN GARLICH OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense JACLYN SALTEE OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense JACLYN SALTEE OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense JACLYN SALTEE OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense JACLYN SALTEE OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense JACLYN SALTEE OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense JAMES C. FORNES OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense JAMES L. SCHMONSKY OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense JAMIE N. HOGAN OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense JASON GOSPODAREK OD JASON GOSPODAREK, OD#8149 2470 W MASON (920) 497-2112 Exam JEFFREY CHRISTIANSON OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense JOHN D. MEURER OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense KEVIN K. VOSS OD THE EYE CARE PLACE 550 N MILITARY AVE STE 10 (920) 498-2020 Exam & Dispense KRISTINE EVANS OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense LAURIE LARSON OD WAL-MART VISION CTR #1453 2440 WEST MASON STREET (920) 405-9165 Exam MANCHESKI VISION 1250 E. MASON STREET (920) 432-3180 Exam & Dispense MARK A. MANCHESKI OD MANCHESKI VISION 1250 E. MASON STREET (920) 432-3180 Exam & Dispense MICHELLE MUELLER OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense MICHELLE MUELLER OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense Page 3 of 5
MICHELLE M. MUELLER OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense MOES VISION CENTER 605 S. MILITARY AVENUE (920) 497-2223 Exam & Dispense NICOLE AMIDON OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense PAUL R. DALECKY OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense ROBERT MATHAUS OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense ROSS JENSEN OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense SAM'S CLUB OPTICAL #8149 2470 W MASON ST (920) 497-2112 Dispense SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense STEVEN EGGERT OD THE EYE CARE PLACE 550 N MILITARY AVE STE 10 (920) 498-2020 Exam & Dispense STEVEN NELSEN OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense T.J. PEASE & ASSOCIATE 2324 UNIVERSITY AVENUE (920) 469-0606 Exam & Dispense THE EYE CARE PLACE 550 N MILITARY AVE STE 10 (920) 498-2020 Exam & Dispense THOMAS BOBKA OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense THOMAS ELSON OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense THOMAS E. BOBKA OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense TIMOTHY HELL OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO OPTICAL #4177 2320 LINEVILLE ROAD (920) 434-5845 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO OPTICAL #4001 216 S. MILITARY AVENUE (920) 494-3384 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO EXPRESS #502 2585 LINEVILLE ROAD (920) 662-9450 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO OPTICAL #4004 2430 E. MASON STREET (920) 468-4642 Exam & Dispense TIMOTHY J. CORGAN OD SHOPKO OPTICAL #4002 301 BAY PARK SQUARE (920) 499-3511 Exam & Dispense TIMOTHY K. RUDER OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense TODD LENHARD OD WAL-MART VISION CTR #1908 2292 MAIN STREET (920) 465-7990 Exam TRACY ROSIEK OD WAL-MART VISION CTR #1453 2440 WEST MASON STREET (920) 405-9165 Exam TRACY A. KLEIN OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense VISION MART 2476 S ONEIDA ST (920) 965-0260 Exam & Dispense WAL-MART VISION CTR #1453 2440 WEST MASON STREET (920) 405-9165 Dispense WAL-MART VISION CTR #1908 2292 MAIN STREET (920) 465-7990 Exam & Dispense WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense YU ZHAO OD WISCONSIN VISION, INC. 2158 W MASON ST (920) 490-9860 Exam & Dispense COUNTY: KEWAUNEE ALGOMA Page 4 of 5
ALGOMA JOHN E. GORZ OD LAKESHORE VISION CENTER 1021 JEFFERSON STREET (920) 487-2020 Exam & Dispense LAKESHORE VISION CENTER 1021 JEFFERSON STREET (920) 487-2020 Exam & Dispense SUSAN A. GORZ OD LAKESHORE VISION CENTER 1021 JEFFERSON STREET (920) 487-2020 Exam & Dispense KEWAUNEE LAKESHORE VISION CENTER 1217 ELLIS STREET (920) 388-2020 Exam & Dispense Page 5 of 5