Blue View Vision PROVIDER DIRECTORY for WISCONSIN

ALTOONA AMERY ANTIGO ANTIGO

NATALEE FRIE O.D. DANIEL SATTERLUND O.D. KAREN HAMERLY OPT. CARMEN LANG OPT. PEARLE VISION FAMILY EYE CLINIC EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 3063 MEADOWLARK LANE 120 N KELLER AVE SC SC STE 10 AMERY, WI 54001 109 STATE HWY 64 109 STATE HWY 64 ALTOONA, WI 54720 (715) 268-9010 ANTIGO, WI 54409 ANTIGO, WI 54409 (715) 834-8858 (715) 623-6662 (715) 623-6662

ANTIGO MATHEW MERGENTHALER VICKI HARWOOD OPT. PATRICIA LECLAIR OPT. O.D. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN PEARLE VISION JENNIFER AARRESTAD SC SC OPT. 3063 MEADOWLARK LANE 109 STATE HWY 64 109 STATE HWY 64 EYE CLINIC OF WISCONSIN STE 10 ANTIGO, WI 54409 ANTIGO, WI 54409 SC ALTOONA, WI 54720 (715) 623-6662 (715) 623-6662 109 STATE HWY 64 (715) 834-8858 ANTIGO, WI 54409 (715) 623-6662 GINA HECK O.D. KATIE MICHALSKI O.D. STEPHANIE MEYER O.D. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN PEARLE VISION SC SC KAVIT BEYERSDORF O.D. 3063 MEADOWLARK LANE 109 STATE HWY 64 109 STATE HWY 64 ANTIGO EYE CARE CENTER STE 10 ANTIGO, WI 54409 ANTIGO, WI 54409 810 5TH AVE ALTOONA, WI 54720 (715) 623-6662 (715) 623-6662 ANTIGO, WI 54409 (715) 834-8858 (715) 623-3620 MATTHEW JOHNSON O.D. LYNDA NOGER OPT. AMERY EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN TRACY CHARTIER OPT. SC SC EYE CLINIC OF WISCONSIN 109 STATE HWY 64 109 STATE HWY 64 TERRY CHRISTOPHERSON SC ANTIGO, WI 54409 ANTIGO, WI 54409 O.D. 109 STATE HWY 64 (715) 623-6662 (715) 623-6662 CHRISTOPHERSON EYE ANTIGO, WI 54409 CLINIC (715) 623-6662 341 KELLER AVE NORTH ANNE KIEFER OPT. THOMAS PETERSON O.D. AMERY, WI 54001 EYE CLINIC OF WISCONSIN ANTIGO EYE CARE CENTER (715) 268-2004 BRIDGETTE DIXON OPT. SC 810 5TH AVE EYE CLINIC OF WISCONSIN 109 STATE HWY 64 ANTIGO, WI 54409 SC ANTIGO, WI 54409 (715) 623-3620 BRYCE 109 STATE HWY 64 (715) 623-6662 CHRISTOPHERSON O.D. ANTIGO, WI 54409 CHRISTOPHERSON EYE (715) 623-6662 RICKY SCALCUCCI O.D. CLINIC RICHARD KJOME O.D. EYE CLINIC OF WISCONSIN 341 KELLER AVE NORTH ANTIGO VISION CLINIC SC AMERY, WI 54001 ROXANNE DOYLE KESZO 714 THIRD AVE 109 STATE HWY 64 O.D. (715) 268-2004 ANTIGO, WI 54409 ANTIGO, WI 54409 ANTIGO EYE CARE CENTER (715) 623-2180 (715) 623-6662 810 5TH AVE ANTIGO, WI 54409 (715) 623-3620

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 1 of 79 ANTIGO APPLETON APPLETON APPLETON

DANIEL STOEHR O.D. JOHN BANKOWSKI O.D. BARBARA CRITCHLEY OPT. THOMAS ELSON O.D. EYE CLINIC OF WISCONSIN AMERICAS BEST PARK PLACE OPTICAL LTD TARGET OPTICAL SC 4784 INTEGRITY WAY 21 PARK PL 1800 S KENSINGTON DR 109 STATE HWY 64 APPLETON, WI 54915 APPLETON, WI 54914 APPLETON, WI 54915 ANTIGO, WI 54409 (920) 636-4070 (920) 739-8235 (920) 749-9785 (715) 623-6662

DONNA BELANGER O.D. ERIN DAGGETT O.D. THOMAS ELSON O.D. JACOB WITTMAN O.D. WISCONSIN VISION INC SHOPKO EYE CARE WISCONSIN VISION INC ANTIGO EYE CARE CENTER 351 N CASALOMA DR CENTER 4015 351 N CASALOMA DR 810 5TH AVE APPLETON, WI 54913 1000 W NORTHLAND AVE APPLETON, WI 54913 ANTIGO, WI 54409 (920) 749-1101 APPLETON, WI 54914 (920) 749-1101 (715) 623-3620 (920) 731-9332

AMERICAS BEST OPT. LYNDA ENEMUOH O.D. APPLETON AMERICAS BEST ERIN DAGGETT O.D. WISCONSIN VISION INC 4784 INTEGRITY WAY SHOPKO STORES INC 351 N CASALOMA DR APPLETON, WI 54915 W3208 VAN ROY RD APPLETON, WI 54913 KATIE ABATA O.D. (920) 636-4070 APPLETON, WI 54915 (920) 749-1101 VALLEY EYE ASSOCIATES (920) 733-3846 21 PARK PLACE APPLETON, WI 54914 JEFFREY CHRISTIANSON KRISTINE EVANS O.D. (920) 739-4361 O.D. PAUL DALECKY O.D. WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC 351 N CASALOMA DR 351 N CASALOMA DR 351 N CASALOMA DR APPLETON, WI 54913 KATIE ABATA O.D. APPLETON, WI 54913 APPLETON, WI 54913 (920) 749-1101 VALLEY EYE ASSOCIATES (920) 749-1101 (920) 749-1101 2500 E VAPITOL DR STE 3500 NATHAN FORST O.D. APPLETON, WI 54911 ANDREW CONGDON O.D. RICHARD DAVISON O.D. SHOPKO EYE CARE (920) 358-1820 TARGET OPTICAL PEARLE VISION CENTER 4015 1800 S KENSINGTON DR 4301 W WISCONSIN AVE 1000 W NORTHLAND AVE APPLETON, WI 54915 APPLETON, WI 54915 APPLETON, WI 54914 REBECCA AMARAL O.D. (920) 749-9785 (920) 731-6116 (920) 731-9332 FOX CITIES EYE CLINIC 1301 E NORTHLAND AVE STE A COLLEEN CORBETT M.D. CYNTHIA DECKER-RIDDLE NATHAN FORST O.D. APPLETON, WI 54911 VALLEY EYE ASSOCIATES O.D. SHOPKO STORES INC (920) 734-8714 21 PARK PLACE WISCONSIN VISION INC W3208 VAN ROY RD APPLETON, WI 54914 351 N CASALOMA DR APPLETON, WI 54915 (920) 739-4361 APPLETON, WI 54913 (920) 733-3846 NICOLE AMIDON O.D. (920) 749-1101 WISCONSIN VISION INC 351 N CASALOMA DR BARBARA CRITCHLEY OPT. TREVOR FOSSO O.D. APPLETON, WI 54913 PARK PLACE OPTICAL DEAN DELWICHE O.D. LENSCRAFTERS (920) 749-1101 2500 E CAPITOL DR VALLEY EYE ASSOCIATES 4301 W WISCONSIN AVE STE 3500 2100 E KENSINGTON DR APPLETON, WI 54913 APPLETON, WI 54911 STE 5 (920) 730-8770 MARK AUSTIN M.D. (920) 358-1830 APPLETON, WI 54915 FOX CITIES EYE CLINIC (920) 731-3876 1301 E NORTHLAND AVE MICHELLE GUSTIN O.D. STE A BARBARA CRITCHLEY OPT. LENSCRAFTERS APPLETON, WI 54911 PARK PLACE OPTICAL LTD SARAH DIERKS O.D. 4301 W WISCONSIN AVE (920) 734-8714 2100 E KENSINGTON DR TARGET OPTICAL APPLETON, WI 54913 STE 5 1800 S KENSINGTON DR (920) 730-8770 APPLETON, WI 54915 APPLETON, WI 54915 (920) 731-1711 (920) 749-9785

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 2 of 79 APPLETON APPLETON APPLETON APPLETON

NICHOLAS HAFEMAN O.D. LAWRENCE JOHANSEN KATHRYN KORTH O.D. CATHERINE LOUGHRIN LENSCRAFTERS O.D. SHOPKO EYE CARE O.D. 4301 W WISCONSIN AVE SHOPKO EYE CARE CENTER 4015 SHOPKO EYE CARE APPLETON, WI 54913 CENTER 4015 1000 W NORTHLAND AVE CENTER 4015 (920) 730-8770 1000 W NORTHLAND AVE APPLETON, WI 54914 1000 W NORTHLAND AVE APPLETON, WI 54914 (920) 731-9332 APPLETON, WI 54914 (920) 731-9332 (920) 731-9332 MARVIN HALL M.D. VALLEY EYE ASSOCIATES CARIN LACOUNT O.D. CRAIG KELLER O.D. CATHERINE LOUGHRIN 2100 E KENSINGTON DR SHOPKO EYE CARE O.D. STE 5 SHOPKO EYE CARE CENTER 4015 CENTER 4015 SHOPKO STORES INC APPLETON, WI 54915 1000 W NORTHLAND AVE 1000 W NORTHLAND AVE W3208 VAN ROY RD (920) 731-3876 APPLETON, WI 54914 APPLETON, WI 54914 (920) 731-9332 APPLETON, WI 54915 (920) 731-9332 (920) 733-3846 PETER HARB O.D. AMERICAS BEST CARIN LACOUNT O.D. CRAIG KELLER O.D. LOUISE MARQUARDT O.D. 4784 INTEGRITY WAY SHOPKO STORES INC SHOPKO STORES INC LENSCRAFTERS APPLETON, WI 54915 W3208 VAN ROY RD W3208 VAN ROY RD 4301 W WISCONSIN AVE (920) 636-4070 APPLETON, WI 54915 APPLETON, WI 54915 (920) 733-3846 APPLETON, WI 54913 (920) 733-3846 (920) 730-8770 PAUL HERZFELD O.D. HERSLOF OPTICIANS SANDRA LANDWEHR O.D. KELLY KESTI O.D. ROBERT MATHAUS O.D. 712 N CASALOMA DR LENSCRAFTERS LENSCRAFTERS WISCONSIN VISION INC APPLETON, WI 54913 4301 W WISCONSIN AVE 4301 W WISCONSIN AVE 351 N CASALOMA DR (920) 832-1202 APPLETON, WI 54913 APPLETON, WI 54913 (920) 730-8770 APPLETON, WI 54913 (920) 730-8770 (920) 749-1101 GREGORY HUBERTUS O.D. WISCONSIN VISION INC KIMBERLY LANDWEHR O.D. KYLE KLIKA O.D. TONY MATUSZAK O.D. 351 N CASALOMA DR VALLEY EYE ASSOCIATES SHOPKO EYE CARE AMERICAS BEST APPLETON, WI 54913 21 PARK PLACE CENTER 4015 4784 INTEGRITY WAY (920) 749-1101 APPLETON, WI 54914 1000 W NORTHLAND AVE (920) 739-4361 APPLETON, WI 54915 APPLETON, WI 54914 (920) 636-4070 (920) 731-9332 ROSS JENSEN O.D. VALLEY EYE ASSOCIATES KIMBERLY LANDWEHR O.D. VALLEY EYE ASSOCIATES ELIZABETH MELCHERT 21 PARK PLACE KYLE KLIKA O.D. O.D. 2100 E KENSINGTON DR APPLETON, WI 54914 VALLEY EYE ASSOCIATES SHOPKO STORES INC STE 5 (920) 739-4361 21 PARK PLACE W3208 VAN ROY RD APPLETON, WI 54915 APPLETON, WI 54914 APPLETON, WI 54915 (920) 731-3876 (920) 733-3846 (920) 739-4361 ROSS JENSEN O.D. VALLEY EYE ASSOCIATES TYLER LEE O.D. 2500 E VAPITOL DR MARK KONYN O.D. JONATHAN MENOS O.D. AMERICAS BEST STE 3500 LENSCRAFTERS AMERICAS BEST 4784 INTEGRITY WAY APPLETON, WI 54911 4301 W WISCONSIN AVE 4784 INTEGRITY WAY APPLETON, WI 54915 (920) 358-1820 APPLETON, WI 54913 APPLETON, WI 54915 (920) 636-4070 (920) 636-4070 (920) 730-8770

LENSCRAFTERS #287 OPT. LENSCRAFTERS 4301 W WISCONSIN AVE APPLETON, WI 54913 (920) 730-8770

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 3 of 79 APPLETON APPLETON APPLETON APPLETON

MELISSA METZGER- HERSLOF OPTICIANS OPT. SARA SCHALK O.D. LAWRENCE SMITH O.D. ROMATZ O.D. HERSLOF OPTICIANS VALLEY EYE ASSOCIATES SHOPKO EYE CARE VALLEY EYE ASSOCIATES 712 N CASALOMA DR 21 PARK PLACE CENTER 4015 21 PARK PLACE APPLETON, WI 54913 APPLETON, WI 54914 1000 W NORTHLAND AVE APPLETON, WI 54914 (920) 832-1202 (920) 739-4361 APPLETON, WI 54914 (920) 739-4361 (920) 731-9332

AMY PEOT O.D. SARA SCHALK O.D. MICHELLE MUELLER O.D. SHOPKO STORES INC VALLEY EYE ASSOCIATES MICHAEL STEVENSON O.D. SHOPKO EYE CARE W3208 VAN ROY RD 2500 E VAPITOL DR SHOPKO EYE CARE CENTER 4015 APPLETON, WI 54915 STE 3500 CENTER 4015 1000 W NORTHLAND AVE (920) 733-3846 APPLETON, WI 54911 1000 W NORTHLAND AVE APPLETON, WI 54914 (920) 358-1820 APPLETON, WI 54914 (920) 731-9332 (920) 731-9332 RONALD PIFFL O.D. PEARLE VISION JOHN SCHRODER O.D. DANIEL NOWAK O.D. 4301 W WISCONSIN AVE LENSCRAFTERS MICHAEL STEVENSON O.D. VALLEY EYE ASSOCIATES APPLETON, WI 54915 4301 W WISCONSIN AVE SHOPKO STORES INC 21 PARK PLACE (920) 731-6116 APPLETON, WI 54913 W3208 VAN ROY RD APPLETON, WI 54914 (920) 730-8770 APPLETON, WI 54915 (920) 739-4361 (920) 733-3846 ANGELA RODRIGUEZ O.D. VALLEY EYE ASSOCIATES KARL SCHWANDT O.D. DANIEL NOWAK O.D. 2500 E VAPITOL DR AMERICAS BEST GARY TACKMAN O.D. VALLEY EYE ASSOCIATES STE 3500 4784 INTEGRITY WAY SHOPKO EYE CARE CENTER 4015 2100 E KENSINGTON DR APPLETON, WI 54911 APPLETON, WI 54915 1000 W NORTHLAND AVE STE 5 (920) 358-1820 (920) 636-4070 APPLETON, WI 54915 APPLETON, WI 54914 (920) 731-3876 (920) 731-9332 ANGELA RODRIGUEZ O.D. JEANNE SENGSTOCK O.D. VALLEY EYE ASSOCIATES VALLEY EYE ASSOCIATES GARY TACKMAN O.D. TARGET OPTICAL OPT. 21 PARK PLACE 21 PARK PLACE SHOPKO STORES INC TARGET OPTICAL APPLETON, WI 54914 APPLETON, WI 54914 W3208 VAN ROY RD 1800 S KENSINGTON DR (920) 739-4361 (920) 739-4361 APPLETON, WI 54915 APPLETON, WI 54915 (920) 749-9785 (920) 733-3846 DOUGLAS SALM M.D. DAVID SLAGOWSKI O.D. VALLEY EYE ASSOCIATES SHOPKO EYE CARE SANDRINE TAGNI KOUNGA SHOPKO OPTICAL 4015 2500 E VAPITOL DR CENTER 4015 OPT. O.D. 1000 W NORTHLAND AVE STE 3500 AMERICAS BEST SHOPKO EYE CARE APPLETON, WI 54914 CENTER 4015 APPLETON, WI 54911 4784 INTEGRITY WAY (920) 731-9332 1000 W NORTHLAND AVE (920) 358-1820 APPLETON, WI 54915 APPLETON, WI 54914 (920) 636-4070 (920) 731-9332 DOUGLAS SALM M.D. DAVID SLAGOWSKI O.D. SHOPKO STORES INC VALLEY EYE ASSOCIATES RYAN TETTING O.D. W3208 VAN ROY RD SHOPKO OPTICAL 504 21 PARK PLACE VALLEY EYE ASSOCIATES APPLETON, WI 54915 SHOPKO STORES INC APPLETON, WI 54914 2100 E KENSINGTON DR (920) 733-3846 W3208 VAN ROY RD (920) 739-4361 STE 5 APPLETON, WI 54915 APPLETON, WI 54915 (920) 733-3846 (920) 731-3876 YOSEPH SARRAFZADEH JEFFREY SMITH O.D. O.D. AMERICAS BEST WISCONSIN VISION INC 4784 INTEGRITY WAY 351 N CASALOMA DR APPLETON, WI 54915 APPLETON, WI 54913 (920) 636-4070 (920) 749-1101

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 4 of 79 APPLETON APPLETON BEAVER DAM BEAVER DAM

RYAN TETTING O.D. JOSEPH WILSON O.D. MEGAN DRAPER O.D. LAURA RAU O.D. VALLEY EYE ASSOCIATES WISCONSIN VISION INC SHOPKO EYE CARE SHOPKO EYE CARE 21 PARK PLACE 351 N CASALOMA DR CENTER 4014 CENTER 4014 APPLETON, WI 54914 APPLETON, WI 54913 822 PARK AVE 822 PARK AVE (920) 739-4361 (920) 749-1101 BEAVER DAM, WI 53916 BEAVER DAM, WI 53916 (920) 887-3791 (920) 887-3791

KRISTIE THIEME O.D. SARA WINKLER O.D. SHOPKO EYE CARE WISCONSIN VISION INC PENNY IVERSON- BRIAN SCHROEDL O.D. AMMERAAL O.D. CENTER 4015 351 N CASALOMA DR SHOPKO EYE CARE 1000 W NORTHLAND AVE APPLETON, WI 54913 SHOPKO EYE CARE CENTER 4014 CENTER 4014 APPLETON, WI 54914 (920) 749-1101 822 PARK AVE (920) 731-9332 822 PARK AVE BEAVER DAM, WI 53916 BEAVER DAM, WI 53916 (920) 887-3791 BALSAM LAKE (920) 887-3791 PAUL THOMPSON O.D. FOX CITIES EYE CLINIC EUGENE SWANSON O.D. JESSAMYN KOVACS O.D. 1301 E NORTHLAND AVE SANDRA DOLPHIN O.D. BEAVER DAM EYE CARE STE A BALSAM LAKE EYE SHOPKO EYE CARE 301 S ROOSEVELT DR ASSOCIATES CENTER 4014 APPLETON, WI 54911 BEAVER DAM, WI 53916 215 MAIN ST 822 PARK AVE (920) 734-8714 (920) 887-8831 STE 101 BEAVER DAM, WI 53916 BALSAM LAKE, WI 54810 (920) 887-3791 RICHARD TOELLNER O.D. (715) 485-3421 KELLYE ZAPORSKI O.D. SHOPKO STORES INC SHOPKO EYE CARE MICHELLE MUELLER O.D. W3208 VAN ROY RD CENTER 4014 LAWRENCE TRAN O.D. SHOPKO EYE CARE APPLETON, WI 54915 822 PARK AVE BALSAM LAKE EYE CENTER 4014 (920) 733-3846 BEAVER DAM, WI 53916 ASSOCIATES 822 PARK AVE (920) 887-3791 215 MAIN ST BEAVER DAM, WI 53916 STE 101 (920) 887-3791 JENNIFER UNGER M.D. BALSAM LAKE, WI 54810 BELOIT VALLEY EYE ASSOCIATES (715) 485-3421 21 PARK PLACE STACY NEPERUD O.D. APPLETON, WI 54914 BEAVER DAM EYE CARE BRIAN ADLER O.D. (920) 739-4361 BEAVER DAM 301 S ROOSEVELT DR SHOPKO EYE CARE BEAVER DAM, WI 53916 CENTER 4026 (920) 887-8831 2761 PRAIRIE AVE JENNIFER UNGER M.D. BRIAN ADLER O.D. BELOIT, WI 53511 VALLEY EYE ASSOCIATES SHOPKO EYE CARE (608) 365-2512 2500 E VAPITOL DR CENTER 4014 STERLING OPTICAL OPT. STE 3500 822 PARK AVE STERLING OPTICAL APPLETON, WI 54911 BEAVER DAM, WI 53916 1740 N SPRING ST ALICJA FITZGERALD O.D. (920) 358-1820 (920) 887-3791 BEAVER DAM, WI 53916 SHOPKO EYE CARE CENTER 4026 (920) 885-3318 2761 PRAIRIE AVE DAVID VANDERLOOP O.D. WADE DENNIS O.D. BELOIT, WI 53511 LENSCRAFTERS STERLING OPTICAL SHOPKO OPTICAL 4014 (608) 365-2512 4301 W WISCONSIN AVE 1740 N SPRING ST OPT. APPLETON, WI 54913 BEAVER DAM, WI 53916 SHOPKO EYE CARE (920) 730-8770 (920) 885-3318 CENTER 4014 PENNY IVERSON- 822 PARK AVE AMMERAAL O.D. BEAVER DAM, WI 53916 SHOPKO EYE CARE CENTER 4026 MICHAEL VRABEC M.D. (920) 887-3791 VALLEY EYE ASSOCIATES 2761 PRAIRIE AVE 21 PARK PLACE BELOIT, WI 53511 APPLETON, WI 54914 (608) 365-2512 (920) 739-4361

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 5 of 79 BELOIT BELOIT BLACK RIVER BRILLION FALLS

JUSTIN JOHNSON O.D. CHRISTINE WARD O.D. MARK HANSON O.D. CARIN LACOUNT O.D. SHOPKO EYE CARE SHOPKO EYE CARE ART OF OPTOMETRY SHOPKO OPTICAL 4608 CENTER 4026 CENTER 4026 127 MAIN ST 1010 W RYAN ST 2761 PRAIRIE AVE 2761 PRAIRIE AVE BLACK RIVER FALLS, WI BRILLION, WI 54110 BELOIT, WI 53511 BELOIT, WI 53511 54615 (920) 756-2640 (608) 365-2512 (608) 365-2512 (715) 284-3111

JONATHAN MENOS O.D. DOUGLAS KELLEY O.D. BERLIN LAURA SCHROEDER O.D. COMMUNITY EYECARE INC BELOIT FAMILY EYE CARE ART OF OPTOMETRY 950 W RYAN ST 531 EAST GRAND AVE 127 MAIN ST STE A MICHEAL GERBER O.D. BELOIT, WI 53511 BLACK RIVER FALLS, WI BRILLION, WI 54110 BERLIN FAMILY EYE CARE (608) 365-8575 54615 SC (920) 756-2020 (715) 284-3111 269 MEMORIAL DR STE 103 ANDREW LINDELL O.D. SHOPKO OPTICAL 4608 BERLIN, WI 54923 BELOIT FAMILY EYE CARE BLOOMER OPT. (920) 361-1696 531 EAST GRAND AVE SHOPKO OPTICAL 4608 BELOIT, WI 53511 1010 W RYAN ST KAREN HERMAN O.D. (608) 365-8575 BRILLION, WI 54110 TAMMI SAWALLISH O.D. HERMAN ADVANCED (920) 756-2640 BERLIN FAMILY EYE CARE FAMILY EYECARE SC 1402 MAIN STREET KRISTIN MOSEMAN O.D. 269 MEMORIAL DR BLOOMER, WI 54724 BELOIT FAMILY EYE CARE DAVID SLAGOWSKI O.D. STE 103 (715) 568-1373 531 EAST GRAND AVE SHOPKO OPTICAL 4608 BERLIN, WI 54923 BELOIT, WI 53511 1010 W RYAN ST (920) 361-1696 (608) 365-8575 BRIAN HERMAN O.D. BRILLION, WI 54110 HERMAN ADVANCED (920) 756-2640 BLACK CREEK FAMILY EYECARE SHOPKO OPTICAL 4026 1402 MAIN STREET OPT. BLOOMER, WI 54724 KRISTIE THIEME O.D. SHOPKO EYE CARE CHARLES BURGESS O.D. (715) 568-1373 SHOPKO OPTICAL 4608 CENTER 4026 COMMUNITY EYECARE INC 1010 W RYAN ST 2761 PRAIRIE AVE 413 S MAIN ST BRILLION, WI 54110 BELOIT, WI 53511 PO BOX 233 BRILLION (920) 756-2640 (608) 365-2512 BLACK CREEK, WI 54106 (920) 984-3937 CHARLES BURGESS O.D. BRODHEAD SHELLY SKJOLAAS O.D. COMMUNITY EYECARE INC BELOIT FAMILY EYE CARE MICAH JUEDES O.D. 950 W RYAN ST DOUGLAS KELLEY O.D. 531 EAST GRAND AVE COMMUNITY EYECARE INC STE A BRODHEAD VISION BELOIT, WI 53511 413 S MAIN ST BRILLION, WI 54110 1005 17 TH STREET (608) 365-8575 PO BOX 233 (920) 756-2020 BRODHEAD, WI 53520 BLACK CREEK, WI 54106 (608) 897-2128 (920) 984-3937 CHAD SLAGLE O.D. MICAH JUEDES O.D. SHOPKO EYE CARE COMMUNITY EYECARE INC CENTER 4026 KRISTIN MOSEMAN O.D. JONATHAN MENOS O.D. 950 W RYAN ST 2761 PRAIRIE AVE BRODHEAD VISION COMMUNITY EYECARE INC STE A BELOIT, WI 53511 1005 17 TH STREET 413 S MAIN ST BRILLION, WI 54110 (608) 365-2512 BRODHEAD, WI 53520 PO BOX 233 (920) 756-2020 (608) 897-2128 BLACK CREEK, WI 54106 (920) 984-3937 THOMAS TRUPPE OPT. EYEWORKS OF BELOIT INC 1905 HUEBBE PKWY BELOIT, WI 53511 (608) 368-1514

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 6 of 79 BROOKFIELD BROOKFIELD BROOKFIELD BROOKFIELD

LISA AMATO O.D. MATTHEW DAHLGREN M.D. JANICE FAN O.D. JEFFREY JENSEN O.D. STERLING OPTICAL MILWAUKEE EYE CARE PEARLE VISION LENSCRAFTERS 95 N MOORLAND RD ASSOCIATES 17550 D W BLUE MOUND RD 16970A W BLUEMOUND RD BROOKFIELD, WI 53005 17280 W NORTH AVE BROOKFIELD, WI 53045 BROOKFIELD, WI 53005 (262) 785-0490 STE 100 (262) 784-3700 (262) 784-8120 BROOKFIELD, WI 53045 (414) 271-2020 JEFF BANAS O.D. PETER FOOTE M.D. JEREMY KEMMERLING O.D. WISCONSIN VISION MILWAUKEE EYE CARE WISCONSIN VISION 285 MARKET ST CYNTHIA DECKER-RIDDLE ASSOCIATES 285 MARKET ST O.D. STE E 107 17280 W NORTH AVE STE E 107 BROOKFIELD, WI 53045 WISCONSIN VISION STE 100 BROOKFIELD, WI 53045 (262) 785-9393 285 MARKET ST BROOKFIELD, WI 53045 (262) 785-9393 STE E 107 (414) 271-2020 BROOKFIELD, WI 53045 ELIZABETH BARON O.D. (262) 785-9393 LOGAN KIEKHAFER O.D. REVERIE OPTIQUE NICHOLAS FRAME M.D. WISCONSIN VISION 2205 N CALHOUN RD MILWAUKEE EYE CARE 285 MARKET ST STE 16 WADE DENNIS O.D. ASSOCIATES STE E 107 BROOKFIELD, WI 53005 STERLING OPTICAL 17280 W NORTH AVE BROOKFIELD, WI 53045 (262) 786-4144 95 N MOORLAND RD STE 100 (262) 785-9393 BROOKFIELD, WI 53005 BROOKFIELD, WI 53045 (262) 785-0490 (414) 271-2020 DONNA BELANGER O.D. ANNA KOECK O.D. WISCONSIN VISION WISCONSIN VISION WILLIAM DICK O.D. 285 MARKET ST JEREMY GOETSCH O.D. 285 MARKET ST STE E 107 LENSCRAFTERS PEARLE VISION STE E 107 BROOKFIELD, WI 53045 16970A W BLUEMOUND RD 17550 D W BLUE MOUND RD BROOKFIELD, WI 53045 (262) 785-9393 BROOKFIELD, WI 53005 BROOKFIELD, WI 53045 (262) 785-9393 (262) 784-8120 (262) 784-3700

BRYAN BELL O.D. MICHELLE KWON O.D. JASON EDMONDS M.D. PEARLE VISION JAY HEILMANN O.D. DR PHILLIP AND LYNNE 17550 D W BLUE MOUND RD MILWAUKEE EYE CARE MILWAUKEE EYE CARE ROY ASSOC ASSOCIATES ASSOCIATES BROOKFIELD, WI 53045 17495 W CAPITOL DR 17280 W NORTH AVE 17280 W NORTH AVE (262) 784-3700 STE D STE 100 STE 100 BROOKFIELD, WI 53045 BROOKFIELD, WI 53045 BROOKFIELD, WI 53045 (262) 797-9638 (414) 271-2020 (414) 271-2020 DREW BROOKS O.D. REVERIE OPTIQUE 2205 N CALHOUN RD JANICE LE O.D. KRISTINE EVANS O.D. RONALD HENSON O.D. STE 16 WISCONSIN VISION WISCONSIN VISION LENSCRAFTERS BROOKFIELD, WI 53005 285 MARKET ST 285 MARKET ST 16970A W BLUEMOUND RD (262) 786-4144 STE E 107 STE E 107 BROOKFIELD, WI 53005 BROOKFIELD, WI 53045 BROOKFIELD, WI 53045 (262) 784-8120 (262) 785-9393 (262) 785-9393 ANDREW COOK O.D. SEARS OPTICAL PAUL HERZFELD O.D. 115 S MOORLAND RD LENSCRAFTERS #032 OPT. VINCENT FACCHIANO O.D. VISION MART BROOKFIELD, WI 53005 LENSCRAFTERS PEARLE VISION 13685 W CAPITOL DR (262) 796-5322 16970A W BLUEMOUND RD 17550 D W BLUE MOUND RD BROOKFIELD, WI 53005 BROOKFIELD, WI 53005 BROOKFIELD, WI 53045 (262) 790-0088 (262) 784-8120 (262) 784-3700

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 7 of 79 BROOKFIELD BROOKFIELD BROOKFIELD BROOKFIELD

MICHELLE LEWIS O.D. JCPENNEY OPTICAL OPT. ANNA SADLER O.D. PAYAL SHAH O.D. DR PHILLIP AND LYNNE JCPENNEY OPTICAL WISCONSIN VISION LENSCRAFTERS ROY ASSOC 95 N MOORLAND RD 285 MARKET ST 16970A W BLUEMOUND RD 17495 W CAPITOL DR BROOKFIELD, WI 53005 STE E 107 BROOKFIELD, WI 53005 STE D (262) 782-2000 BROOKFIELD, WI 53045 (262) 784-8120 BROOKFIELD, WI 53045 (262) 785-9393 (262) 797-9638 SEARS OPTICAL OPT. DEBRA SIMON O.D. SEARS OPTICAL YOSEPH SARRAFZADEH DR PHILLIP AND LYNNE MEGAN LIND O.D. 115 S MOORLAND RD O.D. ROY ASSOC MILWAUKEE EYE CARE BROOKFIELD, WI 53005 WISCONSIN VISION 17495 W CAPITOL DR ASSOCIATES (262) 796-5322 285 MARKET ST STE D 17280 W NORTH AVE STE E 107 BROOKFIELD, WI 53045 STE 100 BROOKFIELD, WI 53045 (262) 797-9638 BROOKFIELD, WI 53045 STERLING OPTICAL OPT. (262) 785-9393 (414) 271-2020 STERLING OPTICAL 95 N MOORLAND RD KIMBERLY SWAN O.D. BROOKFIELD, WI 53005 KELLY SCHERMEISTER DR PHILLIP AND LYNNE O.D. VISION MART INC. OPT. (262) 785-0490 ROY ASSOC VISION MART EYESITE VISION CARE 17495 W CAPITOL DR 13685 W CAPITOL DR CENTER STE D 14320 W GREENFIELD AVE BROOKFIELD, WI 53005 LYNNE ROY O.D. BROOKFIELD, WI 53045 BROOKFIELD, WI 53005 (262) 790-0088 DR PHILLIP AND LYNNE (262) 797-9638 ROY ASSOC (262) 786-2020 17495 W CAPITOL DR ROBERT MATHAUS O.D. STE D MACKENZIE SWARD M.D. JOHN SCHRODER O.D. WISCONSIN VISION BROOKFIELD, WI 53045 MILWAUKEE EYE CARE 285 MARKET ST (262) 797-9638 LENSCRAFTERS ASSOCIATES STE E 107 16970A W BLUEMOUND RD 17280 W NORTH AVE BROOKFIELD, WI 53045 BROOKFIELD, WI 53005 STE 100 (262) 785-9393 PHILLIP ROY O.D. (262) 784-8120 BROOKFIELD, WI 53045 DR PHILLIP AND LYNNE (414) 271-2020 ROY ASSOC RANDALL MELCHERT O.D. 17495 W CAPITOL DR SCOTT SCHUMACHER O.D. RANDALL G MELCHERT OD STE D LENSCRAFTERS MARY TECLAW O.D. 12750 W CAPITAL DR BROOKFIELD, WI 53045 16970A W BLUEMOUND RD DR PHILLIP AND LYNNE BROOKFIELD, WI 53005 (262) 797-9638 BROOKFIELD, WI 53005 ROY ASSOC (262) 781-2020 (262) 784-8120 17495 W CAPITOL DR STE D JULIA RUNKEL O.D. BROOKFIELD, WI 53045 ROBERT MEYER O.D. LENSCRAFTERS CHRISTOPHER SCOTT O.D. (262) 797-9638 WISCONSIN VISION 16970A W BLUEMOUND RD STERLING OPTICAL 285 MARKET ST BROOKFIELD, WI 53005 95 N MOORLAND RD STE E 107 (262) 784-8120 BROOKFIELD, WI 53005 SALY TRAN O.D. BROOKFIELD, WI 53045 (262) 785-0490 BROOKFIELD VISION CENTER SC (262) 785-9393 19035 W CAPITOL DR JULIA RUNKEL O.D. STE 106 PEARLE VISION MICHAEL SEPRISH O.D. BROOKFIELD, WI 53045 THOMAS MOTISI O.D. 17550 D W BLUE MOUND RD LENSCRAFTERS (262) 754-4880 EYESITE VISION CARE BROOKFIELD, WI 53045 16970A W BLUEMOUND RD CENTER (262) 784-3700 BROOKFIELD, WI 53005 14320 W GREENFIELD AVE (262) 784-8120 BROOKFIELD, WI 53005 (262) 786-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 8 of 79 BROOKFIELD BURLINGTON CAMERON CHILTON

JASON VARNER O.D. KEVIN HARRY O.D. ERIN WOOLDRIDGE O.D. JENNIFER ALVAREZ O.D. BROOKFIELD VISION FAMILY VISION WADE FAMILY EYE CARE EYE CTR OF NEW CENTER SC 309 MCHENRY ST SC HOLSTEIN 19035 W CAPITOL DR BURLINGTON, WI 53105 2044 15TH AVENUE 17 E MAIN ST STE 106 (262) 763-0117 CAMERON, WI 54822 CHILTON, WI 53014 BROOKFIELD, WI 53045 (715) 458-3937 (920) 849-4642 (262) 754-4880 TIMOTHY HELL O.D. FAMILY VISION CEDARBURG GARY BURKHARDT O.D. DAVID WEIS O.D. 309 MCHENRY ST EYECARE CENTER OF MILWAUKEE EYE CARE BURLINGTON, WI 53105 CHILTON SUSAN ORVIS O.D. ASSOCIATES (262) 763-0117 19 W MAIN ST 17280 W NORTH AVE FAMILY VISION CTR INC CHILTON, WI 53014 STE 100 W63 N543 HANOVER AVE (920) 849-4291 STE B BROOKFIELD, WI 53045 JON MCKINNEY O.D. CEDARBURG, WI 53012 (414) 271-2020 FAMILY VISION (262) 377-3937 309 MCHENRY ST SARA FALTER O.D. BURLINGTON, WI 53105 EYE CTR OF NEW HOLSTEIN ROBIN WILSON M.D. (262) 763-0117 MILWAUKEE EYE CARE KYLE ROSS O.D. 17 E MAIN ST ASSOCIATES NORTH SHORE EYE CHILTON, WI 53014 17280 W NORTH AVE HEALTH AND WEL (920) 849-4642 PAUL WAGNER M.D. STE 100 N54 W6135 MILL ST PAUL F WAGNER MD BROOKFIELD, WI 53045 STE 700 308 MCHENRY ST (414) 271-2020 CEDARBURG, WI 53012 AARON GRUBER O.D. BURLINGTON, WI 53105 (262) 421-4412 EYE CTR OF NEW (262) 763-7613 HOLSTEIN KRISTIE YEAGER O.D. 17 E MAIN ST POINT OF VIEW OPTICAL GARY WALTERS O.D. CHILTON, WI 53014 STEPHEN WAGNER M.D. GALLERY GARY WALTERS OD (920) 849-4642 PAUL F WAGNER MD 2849 N BROOKFIELD RD W62N221 WASHINGTON 308 MCHENRY ST BROOKFIELD, WI 53045 AVE BURLINGTON, WI 53105 (262) 797-9730 CEDARBURG, WI 53012 LAURA RAU O.D. (262) 763-7613 (262) 377-9686 EYECARE CENTER OF CHILTON NICHOLAS ZAHN O.D. 19 W MAIN ST BUTLER WISCONSIN VISION CHETEK CHILTON, WI 53014 285 MARKET ST (920) 849-4291 STE E 107 DONALD DLOUHY O.D. BRIAN HERMAN O.D. BROOKFIELD, WI 53045 DR DONALD E DLOUHY HERMAN ADVANCED CHERYL ROERS O.D. (262) 785-9393 12728 W HAMPTON AVE FAMILY EYECARE EYE CTR OF NEW BUTLER, WI 53007 712 SECOND ST HOLSTEIN (262) 781-8693 CHETEK, WI 54728 BURLINGTON 17 E MAIN ST (715) 924-3660 CHILTON, WI 53014 CAMERON (920) 849-4642 NICHOLAS BOWEN O.D. KAREN HERMAN O.D. FAMILY VISION HERMAN ADVANCED 309 MCHENRY ST DAVID VANDERLOOP O.D. GEORGEANN WADE O.D. FAMILY EYECARE BURLINGTON, WI 53105 EYE CTR OF NEW WADE FAMILY EYE CARE 712 SECOND ST (262) 763-0117 SC HOLSTEIN CHETEK, WI 54728 2044 15TH AVENUE 17 E MAIN ST (715) 924-3660 CAMERON, WI 54822 CHILTON, WI 53014 ROBERT FAIT O.D. (715) 458-3937 (920) 849-4642 FAMILY VISION 309 MCHENRY ST BURLINGTON, WI 53105 (262) 763-0117

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 9 of 79 CHIPPEWA FALLS CHIPPEWA FALLS CLINTONVILLE COLUMBUS

MEGAN BARBOT-SMITH STEVE NEYENS O.D. CRAIG SYLTE O.D. CHRISTINE WARD O.D. O.D. SHOPKO EYE CARE GRIEBENOW EYECARE SHOPKO EYECARE SHOPKO EYE CARE CENTER 4037 45 10TH ST CENTER 4788 CENTER 4037 2677 S PRAIRIE VIEW RD CLINTONVILLE, WI 54929 200 COMMERCE DR 2677 S PRAIRIE VIEW RD CHIPPEWA FALLS, WI (715) 823-5112 COLUMBUS, WI 53925 CHIPPEWA FALLS, WI 54729 (920) 623-9183 54729 (715) 726-1671 (715) 726-1671 TODD WILD O.D. SPECTACULAR VISIONS KELLYE ZAPORSKI O.D. SHOPKO OPTICAL 4037 136 S MAIN ST SHOPKO EYECARE RYAN BELOUNGY O.D. OPT. CLINTONVILLE, WI 54929 CENTER 4788 CARDINAL FAMILY EYE SHOPKO EYE CARE 200 COMMERCE DR CARE CENTER 4037 (715) 823-2020 COLUMBUS, WI 53925 509 E SOUTH AVE 2677 S PRAIRIE VIEW RD (920) 623-9183 CHIPPEWA FALLS, WI CHIPPEWA FALLS, WI 54729 54729 COLUMBUS (715) 726-9077 (715) 726-1671 COTTAGE GROVE MEGAN DRAPER O.D. SHOPKO EYECARE TORI FLOOD O.D. MIKEAL OSTRANDER O.D. CENTER 4788 DAVID NELSON O.D. SHOPKO EYE CARE SHOPKO EYE CARE 200 COMMERCE DR COTTAGE GROVE EYE CENTER 4037 CENTER 4037 COLUMBUS, WI 53925 CARE 2677 S PRAIRIE VIEW RD 2677 S PRAIRIE VIEW RD (920) 623-9183 427 W COTTAGE GROVE RD CHIPPEWA FALLS, WI CHIPPEWA FALLS, WI COTTAGE GROVE, WI 54729 54729 53527 (715) 726-1671 (715) 726-1671 (608) 839-0980 PENNY IVERSON- AMMERAAL O.D. SHOPKO EYECARE DUSTIN HETKE O.D. JACOB VERGIN O.D. CENTER 4788 CUDAHY SHOPKO EYE CARE CARDINAL FAMILY EYE 200 COMMERCE DR CENTER 4037 CARE COLUMBUS, WI 53925 2677 S PRAIRIE VIEW RD 509 E SOUTH AVE JACLYN GARLICH O.D. (920) 623-9183 CHIPPEWA FALLS, WI CHIPPEWA FALLS, WI OPHTHALMOLOGY 54729 54729 ASSOCIATES (715) 726-1671 (715) 726-9077 6020 S PACKARD AVE JESSAMYN KOVACS O.D. CUDAHY, WI 53110 SHOPKO EYECARE (414) 744-0449 CENTER 4788 NICHOLAS KONWINSKI CLINTONVILLE O.D. 200 COMMERCE DR COLUMBUS, WI 53925 SHOPKO EYE CARE JOHN JENNINGS O.D. (920) 623-9183 CENTER 4037 MOLLY BENCK O.D. VISION HEALTH EYECARE 2677 S PRAIRIE VIEW RD GRIEBENOW EYECARE CTR CHIPPEWA FALLS, WI 45 10TH ST 5102 S PACKARD AVENUE SHOPKO OPTICAL 4788 54729 CLINTONVILLE, WI 54929 CUDAHY, WI 53110 OPT. (715) 726-1671 (715) 823-5112 (414) 769-6120 SHOPKO EYECARE CENTER 4788 200 COMMERCE DR EDWARD MELBERG O.D. KAVIT BEYERSDORF O.D. RICHARD MILLER O.D. COLUMBUS, WI 53925 SHOPKO EYE CARE SPECTACULAR VISIONS VISION HEALTH EYECARE (920) 623-9183 CENTER 4037 136 S MAIN ST CTR 2677 S PRAIRIE VIEW RD CLINTONVILLE, WI 54929 5102 S PACKARD AVENUE CHIPPEWA FALLS, WI (715) 823-2020 CUDAHY, WI 53110 54729 BRIAN SCHROEDL O.D. (414) 769-6120 (715) 726-1671 SHOPKO EYECARE CENTER 4788 KERRY GRIEBENOW O.D. 200 COMMERCE DR GRIEBENOW EYECARE COLUMBUS, WI 53925 45 10TH ST (920) 623-9183 CLINTONVILLE, WI 54929 (715) 823-5112

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 10 of 79 CUDAHY DE PERE DE PERE DELAFIELD

HART MOSS M.D. BRIAN COOK O.D. CATHERINE LOUGHRIN SALY TRAN O.D. OPHTHALMOLOGY SHOPKO EYE CARE O.D. EYE EYEGLASSERY CO ASSOCIATES CENTER 4005 SHOPKO EYE CARE 414 GENESEE ST 6020 S PACKARD AVE 230 N WISCONSIN ST CENTER 4005 DELAFIELD, WI 53018 CUDAHY, WI 53110 DE PERE, WI 54115 230 N WISCONSIN ST (262) 423-4747 (414) 744-0449 (920) 336-3390 DE PERE, WI 54115 (920) 336-3390 JASON VARNER O.D. EMMYLOU SWARTZ O.D. ERIN DAGGETT O.D. EYE EYEGLASSERY CO MICHELLE MUELLER O.D. EDWARD J TOMASIK & SHOPKO EYE CARE 414 GENESEE ST ASSOC OPTOM CENTER 4005 SHOPKO EYE CARE DELAFIELD, WI 53018 CENTER 4005 3552 E LAYTON AVE 230 N WISCONSIN ST (262) 423-4747 CUDAHY, WI 53110 DE PERE, WI 54115 230 N WISCONSIN ST (414) 744-0449 (920) 336-3390 DE PERE, WI 54115 (920) 336-3390 DELAVAN

DELORES TOMASIK OPT. KRISTEN DORMAN O.D. EDWARD J TOMASIK & SHOPKO EYE CARE SHOPKO OPTICAL 4005 BRIAN ADLER O.D. ASSOC OPTOM CENTER 4005 OPT. SHOPKO EYE CARE 3552 E LAYTON AVE 230 N WISCONSIN ST SHOPKO EYE CARE CENTER 4127 CENTER 4005 CUDAHY, WI 53110 DE PERE, WI 54115 1450 E GENEVA ST 230 N WISCONSIN ST (414) 744-0449 (920) 336-3390 DELAVAN, WI 53115 DE PERE, WI 54115 (262) 728-0068 (920) 336-3390 QIAN YANG O.D. CRAIG KELLER O.D. OPHTHALMOLOGY SHOPKO EYE CARE MEGAN DRAPER O.D. ASSOCIATES CENTER 4005 AMY PEOT O.D. SHOPKO EYE CARE 6020 S PACKARD AVE 230 N WISCONSIN ST SHOPKO EYE CARE CENTER 4127 CENTER 4005 CUDAHY, WI 53110 DE PERE, WI 54115 1450 E GENEVA ST 230 N WISCONSIN ST (414) 744-0449 (920) 336-3390 DELAVAN, WI 53115 DE PERE, WI 54115 (262) 728-0068 (920) 336-3390 DE FOREST KYLE KLIKA O.D. SHOPKO EYE CARE ALICJA FITZGERALD O.D. CENTER 4005 JAMES SCHMONSKY O.D. SHOPKO EYE CARE TRIXIE EAKIN O.D. 230 N WISCONSIN ST SHOPKO EYE CARE CENTER 4127 CENTER 4005 ESSENTIAL FAMILY VISION DE PERE, WI 54115 1450 E GENEVA ST CARE 230 N WISCONSIN ST (920) 336-3390 DELAVAN, WI 53115 101 S MAIN ST DE PERE, WI 54115 (262) 728-0068 DE FOREST, WI 53532 (920) 336-3390 (608) 846-5625 KATHRYN KORTH O.D. SHOPKO EYE CARE PENNY IVERSON- CENTER 4005 APRIL SWIM O.D. AMMERAAL O.D. JULIA EDWARDS O.D. 230 N WISCONSIN ST SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4005 ESSENTIAL FAMILY VISION DE PERE, WI 54115 CENTER 4127 CARE 230 N WISCONSIN ST (920) 336-3390 1450 E GENEVA ST 101 S MAIN ST DE PERE, WI 54115 DELAVAN, WI 53115 DE FOREST, WI 53532 (920) 336-3390 (262) 728-0068 (608) 846-5625 CARIN LACOUNT O.D. SHOPKO EYE CARE CENTER 4005 GARY TACKMAN O.D. JUSTIN JOHNSON O.D. STEPHANIE MCCAIG O.D. 230 N WISCONSIN ST SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4005 ESSENTIAL FAMILY VISION DE PERE, WI 54115 CENTER 4127 CARE 230 N WISCONSIN ST (920) 336-3390 1450 E GENEVA ST 101 S MAIN ST DE PERE, WI 54115 DELAVAN, WI 53115 DE FOREST, WI 53532 (920) 336-3390 (262) 728-0068 (608) 846-5625

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 11 of 79 DELAVAN DELAVAN EAST TROY EAU CLAIRE

ANNE-MARIE LASCHEN JAMES WALLACE O.D. GERALD KOSKINEN O.D. DUSTIN HETKE O.D. O.D. SHOPKO EYE CARE KOSKINEN EYE CLINIC SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4127 3278 W MAIN ST CENTER 4024 CENTER 4127 1450 E GENEVA ST STE B 963 W CLAIRMONT AVE 1450 E GENEVA ST DELAVAN, WI 53115 EAST TROY, WI 53120 EAU CLAIRE, WI 54701 DELAVAN, WI 53115 (262) 728-0068 (262) 642-9719 (715) 832-7723 (262) 728-0068

CHRISTINE WARD O.D. EAU CLAIRE NICHOLAS KONWINSKI JOHN MORRISON O.D. SHOPKO EYE CARE O.D. MORRISON EYE CLINIC SC CENTER 4127 SHOPKO EYE CARE 1221 E PHOENIX ST 1450 E GENEVA ST SIOBHAN BEEKSMA O.D. CENTER 4024 DELAVAN, WI 53115 DELAVAN, WI 53115 CHIPPEWA VALLEY EYE 963 W CLAIRMONT AVE (262) 728-2667 (262) 728-0068 CLINIC EAU CLAIRE, WI 54701 2715 DAMON ST (715) 832-7723 EAU CLAIRE, WI 54701 KRISTIN MOSEMAN O.D. DURAND (715) 834-8471 SHOPKO EYE CARE KRISTEN LAMBERT O.D. CENTER 4127 CHIPPEWA VALLEY EYE 1450 E GENEVA ST GARY LUKES O.D. PAUL DELAKIS O.D. CLINIC DELAVAN, WI 53115 DURAND OPTOMETRY STERLING OPTICAL 2715 DAMON ST CLINIC LLC (262) 728-0068 4054 COMMONWEALTH AVE EAU CLAIRE, WI 54701 905 7TH AVE W EAU CLAIRE, WI 54701 (715) 834-8471 DURAND, WI 54736 (715) 833-1220 GIOVANNA MOSES O.D. (715) 672-8981 MORRISON EYE CLINIC SC DONALD LORENTZ O.D. 1221 E PHOENIX ST DIANE DULIAN OPT. SHOPKO EYE CARE TONY MORRIS O.D. DELAVAN, WI 53115 EAU CLAIRE OPTICAL CENTER 4024 DURAND OPTOMETRY (262) 728-2667 2715 DAMON ST 963 W CLAIRMONT AVE CLINIC LLC STE 200 EAU CLAIRE, WI 54701 905 7TH AVE W EAU CLAIRE, WI 54701 (715) 832-7723 DURAND, WI 54736 SHOPKO OPTICAL 4127 (715) 834-5644 OPT. (715) 672-8981 SHOPKO EYE CARE DENAE MURNER OPT. CENTER 4127 TORI FLOOD O.D. CHIPPEWA VALLEY EYE EAGLE RIVER CLINIC 1450 E GENEVA ST SHOPKO EYE CARE DELAVAN, WI 53115 CENTER 4024 2715 DAMON ST (262) 728-0068 EAU CLAIRE, WI 54701 DALE MASSIGNAN O.D. 963 W CLAIRMONT AVE (715) 834-8471 DR DALE T MASSIGNAN OD EAU CLAIRE, WI 54701 523 EAST WALL ST (715) 832-7723 BRIAN SCHROEDL O.D. EAGLE RIVER, WI 54521 SHOPKO EYE CARE STEVE NEYENS O.D. (715) 479-6489 CENTER 4127 KAREN HERMAN O.D. SHOPKO EYE CARE CENTER 4024 1450 E GENEVA ST TARGET OPTICAL DELAVAN, WI 53115 963 W CLAIRMONT AVE EAST TROY 3649 S HASTINGS WAY EAU CLAIRE, WI 54701 (262) 728-0068 EAU CLAIRE, WI 54701 (715) 832-7723 (715) 838-0462 SANDRA HUENINK O.D. CHAD SLAGLE O.D. KOSKINEN EYE CLINIC SEARS OPTICAL OPT. SHOPKO EYE CARE 3278 W MAIN ST BRIAN HERMAN O.D. CENTER 4127 SEARS OPTICAL STE B TARGET OPTICAL 1450 E GENEVA ST 4720 GOLF ROAD EAST TROY, WI 53120 3649 S HASTINGS WAY DELAVAN, WI 53115 EAU CLAIRE, WI 54701 (262) 642-9719 EAU CLAIRE, WI 54701 (262) 728-0068 (715) 830-2968 (715) 838-0462

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 12 of 79 EAU CLAIRE EDGERTON ELM GROVE ELM GROVE

TARGET OPTICAL OPT. MICHAEL LONG O.D. JEFFREY CHRISTIANSON AURORA HEALTHCARE TARGET OPTICAL EDGERTON VISION CTR O.D. OPT. 3649 S HASTINGS WAY 1110 N MAIN ST WISCONSIN VISION INC AURORA HEALTH CARE EAU CLAIRE, WI 54701 EDGERTON, WI 53534 12876 W BLUEMOUND RD VENTURES (715) 838-0462 (608) 884-3314 ELM GROVE, WI 53122 12500 WEST BLUEMOUND (262) 432-0052 RD STE 201 ELM GROVE, WI 53122 SHOPKO OPTICAL 4024 TRISTAN LONG O.D. (262) 787-2139 OPT. EDGERTON VISION CTR PAUL DALECKY O.D. SHOPKO EYE CARE 1110 N MAIN ST WISCONSIN VISION INC CENTER 4024 EDGERTON, WI 53534 12876 W BLUEMOUND RD GREGORY HUBERTUS O.D. 963 W CLAIRMONT AVE (608) 884-3314 ELM GROVE, WI 53122 EAU CLAIRE, WI 54701 (262) 432-0052 WISCONSIN VISION INC (715) 832-7723 12876 W BLUEMOUND RD ELKHORN ELM GROVE, WI 53122 CYNTHIA DECKER-RIDDLE (262) 432-0052 MIKEAL OSTRANDER O.D. O.D. SHOPKO EYE CARE JOHN HALL O.D. WISCONSIN VISION INC CENTER 4024 DR JOHN E HALL 12876 W BLUEMOUND RD JEREMY KEMMERLING O.D. 963 W CLAIRMONT AVE 419 N WISCONSIN ST ELM GROVE, WI 53122 WISCONSIN VISION INC EAU CLAIRE, WI 54701 ELKHORN, WI 53121 (262) 432-0052 12876 W BLUEMOUND RD (715) 832-7723 (262) 723-2234 ELM GROVE, WI 53122 (262) 432-0052 THOMAS ELSON O.D. ANDREW PALM O.D. ELM GROVE WISCONSIN VISION INC SEARS OPTICAL 12876 W BLUEMOUND RD LOGAN KIEKHAFER O.D. 4720 GOLF ROAD ELM GROVE, WI 53122 WISCONSIN VISION INC MARGARETTE ALCESTO EAU CLAIRE, WI 54701 (262) 432-0052 12876 W BLUEMOUND RD O.D. (715) 830-2968 ELM GROVE, WI 53122 WISCONSIN VISION INC (262) 432-0052 12876 W BLUEMOUND RD LYNDA ENEMUOH O.D. ELM GROVE, WI 53122 LAURA SCHROEDER O.D. WISCONSIN VISION INC (262) 432-0052 CHIPPEWA VALLEY EYE 12876 W BLUEMOUND RD ANNA KOECK O.D. CLINIC ELM GROVE, WI 53122 WISCONSIN VISION INC 2715 DAMON ST (262) 432-0052 12876 W BLUEMOUND RD NICOLE AMIDON O.D. EAU CLAIRE, WI 54701 ELM GROVE, WI 53122 WISCONSIN VISION INC (715) 834-8471 (262) 432-0052 12876 W BLUEMOUND RD KRISTINE EVANS O.D. ELM GROVE, WI 53122 WISCONSIN VISION INC (262) 432-0052 CHAD VIETH O.D. 12876 W BLUEMOUND RD ROBERT MATHAUS O.D. CHIPPEWA VALLEY EYE ELM GROVE, WI 53122 WISCONSIN VISION INC CLINIC (262) 432-0052 12876 W BLUEMOUND RD JEFF BANAS O.D. 2715 DAMON ST ELM GROVE, WI 53122 WISCONSIN VISION INC EAU CLAIRE, WI 54701 (262) 432-0052 (715) 834-8471 12876 W BLUEMOUND RD KEVIN HARRY O.D. ELM GROVE, WI 53122 KEVIN A HARRY OD (262) 432-0052 ROBERT MEYER O.D. EDGERTON 15300 WATERTOWN PLANK RD WISCONSIN VISION INC ELM GROVE, WI 53122 12876 W BLUEMOUND RD DONNA BELANGER O.D. (262) 786-9630 ELM GROVE, WI 53122 JAYME LONG O.D. WISCONSIN VISION INC (262) 432-0052 EDGERTON VISION CTR 12876 W BLUEMOUND RD 1110 N MAIN ST ELM GROVE, WI 53122 EDGERTON, WI 53534 (262) 432-0052 (608) 884-3314

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 13 of 79 ELM GROVE FOND DU LAC FOND DU LAC FOND DU LAC

ANNA SADLER O.D. DONNA BELANGER O.D. CATHERINE EGGERT O.D. MICHELLE GUSTIN O.D. WISCONSIN VISION INC WISCONSIN VISION INC LENSCRAFTERS LENSCRAFTERS 12876 W BLUEMOUND RD 459 W JOHNSON ST 835 WEST JOHNSON ST 835 WEST JOHNSON ST ELM GROVE, WI 53122 FOND DU LAC, WI 54935 STE C07C STE C07C (262) 432-0052 (920) 922-5990 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 906-9489 (920) 906-9489

YOSEPH SARRAFZADEH JEFFREY CHRISTIANSON O.D. O.D. THOMAS ELSON O.D. NICHOLAS HAFEMAN O.D. WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC LENSCRAFTERS 12876 W BLUEMOUND RD 459 W JOHNSON ST 459 W JOHNSON ST 835 WEST JOHNSON ST ELM GROVE, WI 53122 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 STE C07C (262) 432-0052 (920) 922-5990 (920) 922-5990 FOND DU LAC, WI 54935 (920) 906-9489

JOSEPH WILSON O.D. J CONRAN O.D. LYNDA ENEMUOH O.D. WISCONSIN VISION INC J BRIAN CONRAN OD SC WISCONSIN VISION INC BRIAN HAMMES O.D. 12876 W BLUEMOUND RD 110 E DIVISION 459 W JOHNSON ST FAMILY FOCUS EYE CARE ELM GROVE, WI 53122 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 355 N PETERS AVE (262) 432-0052 (920) 922-5430 (920) 922-5990 FOND DU LAC, WI 54935 (920) 922-7121

SARA WINKLER O.D. ERIN DAGGETT O.D. KRISTINE EVANS O.D. WISCONSIN VISION INC SHOPKO EYE CARE WISCONSIN VISION INC DAVID HAMMES O.D. 12876 W BLUEMOUND RD CENTER 4050 459 W JOHNSON ST FAMILY FOCUS EYE CARE ELM GROVE, WI 53122 616 W JOHNSON ST FOND DU LAC, WI 54935 355 N PETERS AVE (262) 432-0052 FOND DU LAC, WI 54935 (920) 922-5990 FOND DU LAC, WI 54935 (920) 921-8290 (920) 922-7121

NICHOLAS ZAHN O.D. DANIEL FEULING O.D. WISCONSIN VISION INC PAUL DALECKY O.D. LENSCRAFTERS AURORA HEALTHCARE 12876 W BLUEMOUND RD WISCONSIN VISION INC 835 WEST JOHNSON ST OPT. ELM GROVE, WI 53122 459 W JOHNSON ST STE C07C AURORA HEALTHCARE (262) 432-0052 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 210 WISCONSIN AMERICAN (920) 922-5990 (920) 906-9489 DR FOND DU LAC, WI 54935 FOND DU LAC (920) 907-4831 CYNTHIA DECKER-RIDDLE NATHAN FORST O.D. O.D. SHOPKO EYE CARE BRIAN ADLER O.D. WISCONSIN VISION INC CENTER 4050 JULIE HENRY O.D. SHOPKO EYE CARE 459 W JOHNSON ST 616 W JOHNSON ST AURORA HEALTHCARE CENTER 4050 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 210 WISCONSIN AMERICAN 616 W JOHNSON ST (920) 922-5990 DR (920) 921-8290 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 921-8290 (920) 907-4831 KRISTEN DORMAN O.D. LAURA GENGELBACH O.D. SHOPKO EYE CARE FAMILY FOCUS EYE CARE NICOLE AMIDON O.D. CENTER 4050 GREGORY HUBERTUS O.D. 355 N PETERS AVE WISCONSIN VISION INC 616 W JOHNSON ST WISCONSIN VISION INC FOND DU LAC, WI 54935 459 W JOHNSON ST FOND DU LAC, WI 54935 459 W JOHNSON ST (920) 922-7121 FOND DU LAC, WI 54935 (920) 921-8290 FOND DU LAC, WI 54935 (920) 922-5990 (920) 922-5990

STEPHEN DUDLEY M.D. OPTIVISION EYE CARE 437 N PIONEER RD FOND DU LAC, WI 54937 (920) 923-0000

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 14 of 79 FOND DU LAC FOND DU LAC FOND DU LAC FOND DU LAC

KYLE KLIKA O.D. JONATHAN MENOS O.D. YOSEPH SARRAFZADEH DAVID VANDERLOOP O.D. SHOPKO EYE CARE LENSCRAFTERS O.D. LENSCRAFTERS CENTER 4050 835 WEST JOHNSON ST WISCONSIN VISION INC 835 WEST JOHNSON ST 616 W JOHNSON ST STE C07C 459 W JOHNSON ST STE C07C FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 921-8290 (920) 906-9489 (920) 922-5990 (920) 906-9489

ANNA KOECK O.D. ERIKA MISH O.D. JAMES SCHMONSKY O.D. SANDRA VERHAEGHE O.D. WISCONSIN VISION INC SHOPKO EYE CARE SHOPKO EYE CARE AURORA HEALTHCARE 459 W JOHNSON ST CENTER 4050 CENTER 4050 210 WISCONSIN AMERICAN FOND DU LAC, WI 54935 616 W JOHNSON ST 616 W JOHNSON ST DR (920) 922-5990 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 921-8290 (920) 921-8290 (920) 907-4831

JESSICA KULICK O.D. FAMILY FOCUS EYE CARE MICHELLE MUELLER O.D. JOHN SCHRODER O.D. JOSEPH WILSON O.D. 355 N PETERS AVE SHOPKO EYE CARE LENSCRAFTERS WISCONSIN VISION INC FOND DU LAC, WI 54935 CENTER 4050 835 WEST JOHNSON ST 459 W JOHNSON ST (920) 922-7121 616 W JOHNSON ST STE C07C FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 922-5990 (920) 921-8290 (920) 906-9489 CARIN LACOUNT O.D. SHOPKO EYE CARE SARA WINKLER O.D. CENTER 4050 SHOPKO OPTICAL 4050 BRIAN SCHROEDL O.D. WISCONSIN VISION INC 616 W JOHNSON ST OPT. SHOPKO EYE CARE 459 W JOHNSON ST FOND DU LAC, WI 54935 SHOPKO EYE CARE CENTER 4050 FOND DU LAC, WI 54935 CENTER 4050 (920) 921-8290 616 W JOHNSON ST (920) 922-5990 616 W JOHNSON ST FOND DU LAC, WI 54935 FOND DU LAC, WI 54935 (920) 921-8290 . LENSCRAFTERS #1785 (920) 921-8290 FORT ATKINSON OPT. LENSCRAFTERS DAVID SLAGOWSKI O.D. 835 WEST JOHNSON ST SHELBY OSWALD O.D. SHOPKO EYE CARE BRIAN ADLER O.D. STE C07C LENSCRAFTERS CENTER 4050 SHOPKO EYE CARE FOND DU LAC, WI 54935 835 WEST JOHNSON ST 616 W JOHNSON ST CENTER 4051 (920) 906-9489 STE C07C FOND DU LAC, WI 54935 1425 JANESVILLE AVE FOND DU LAC, WI 54935 (920) 921-8290 FORT ATKINSON, WI 53538 (920) 906-9489 (920) 563-2171 GRANT LEPLEY O.D. FAMILY FOCUS EYE CARE LAWRENCE SMITH O.D. 355 N PETERS AVE LAURA RAU O.D. SHOPKO EYE CARE BRET AMMERAAL O.D. FOND DU LAC, WI 54935 LENSCRAFTERS CENTER 4050 SHOPKO EYE CARE CENTER 4051 (920) 922-7121 835 WEST JOHNSON ST 616 W JOHNSON ST STE C07C FOND DU LAC, WI 54935 1425 JANESVILLE AVE FOND DU LAC, WI 54935 (920) 921-8290 FORT ATKINSON, WI 53538 ROBERT MATHAUS O.D. (920) 906-9489 (920) 563-2171 WISCONSIN VISION INC 459 W JOHNSON ST KRISTIE THIEME O.D. AMANDA CHEEK O.D. FOND DU LAC, WI 54935 LAURA RAU O.D. SHOPKO EYE CARE CENTER 4050 SHOPKO EYE CARE (920) 922-5990 SHOPKO EYE CARE CENTER 4050 616 W JOHNSON ST CENTER 4051 616 W JOHNSON ST FOND DU LAC, WI 54935 1425 JANESVILLE AVE FOND DU LAC, WI 54935 (920) 921-8290 FORT ATKINSON, WI 53538 (920) 921-8290 (920) 563-2171

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 15 of 79 FORT ATKINSON FORT ATKINSON FRANKLIN FRANKLIN

MEGAN DRAPER O.D. BRIAN SCHROEDL O.D. JEFF BANAS O.D. THOMAS ELSON O.D. SHOPKO EYE CARE SHOPKO EYE CARE WISCONSIN VISION INC WISCONSIN VISION INC CENTER 4051 CENTER 4051 8225 S 27TH ST 8225 S 27TH ST 1425 JANESVILLE AVE 1425 JANESVILLE AVE FRANKLIN, WI 53132 FRANKLIN, WI 53132 FORT ATKINSON, WI 53538 FORT ATKINSON, WI 53538 (414) 761-2269 (414) 761-2269 (920) 563-2171 (920) 563-2171

DONNA BELANGER O.D. LYNDA ENEMUOH O.D. ALICJA FITZGERALD O.D. JENNET SHEPHERD O.D. WISCONSIN VISION INC WISCONSIN VISION INC SHOPKO EYE CARE SHOPKO EYE CARE 8225 S 27TH ST 8225 S 27TH ST CENTER 4051 CENTER 4051 FRANKLIN, WI 53132 FRANKLIN, WI 53132 1425 JANESVILLE AVE 1425 JANESVILLE AVE (414) 761-2269 (414) 761-2269 FORT ATKINSON, WI 53538 FORT ATKINSON, WI 53538 (920) 563-2171 (920) 563-2171 JEFFREY CHRISTIANSON KRISTINE EVANS O.D. O.D. WISCONSIN VISION INC LINDA FOLEY O.D. CHAD SLAGLE O.D. WISCONSIN VISION INC 8225 S 27TH ST ROCK RIVER OPTICAL SHOPKO EYE CARE 8225 S 27TH ST FRANKLIN, WI 53132 CENTER 4051 232 S MAIN ST FRANKLIN, WI 53132 (414) 761-2269 FORT ATKINSON, WI 53538 1425 JANESVILLE AVE (414) 761-2269 (920) 542-1501 FORT ATKINSON, WI 53538 (920) 563-2171 PETER FOOTE M.D. MATTHEW DAHLGREN M.D. MILWAUKEE EYE CARE PENNY IVERSON- MILWAUKEE EYE CARE ASSOCIATES AMMERAAL O.D. CHRISTINE WARD O.D. ASSOCIATES 9200 W LOOMIS RD SHOPKO EYE CARE SHOPKO EYE CARE 9200 W LOOMIS RD STE 204 CENTER 4051 CENTER 4051 STE 204 FRANKLIN, WI 53132 1425 JANESVILLE AVE 1425 JANESVILLE AVE FRANKLIN, WI 53132 (414) 271-2020 FORT ATKINSON, WI 53538 FORT ATKINSON, WI 53538 (414) 271-2020 (920) 563-2171 (920) 563-2171 NICHOLAS FRAME M.D. PAUL DALECKY O.D. MILWAUKEE EYE CARE JUSTIN JOHNSON O.D. KELLYE ZAPORSKI O.D. WISCONSIN VISION INC ASSOCIATES SHOPKO EYE CARE SHOPKO EYE CARE 8225 S 27TH ST 9200 W LOOMIS RD CENTER 4051 CENTER 4051 FRANKLIN, WI 53132 STE 204 1425 JANESVILLE AVE 1425 JANESVILLE AVE (414) 761-2269 FRANKLIN, WI 53132 FORT ATKINSON, WI 53538 FORT ATKINSON, WI 53538 (414) 271-2020 (920) 563-2171 (920) 563-2171 CYNTHIA DECKER-RIDDLE O.D. JAY HEILMANN O.D. KRISTIN MOSEMAN O.D. FRANKLIN WISCONSIN VISION INC MILWAUKEE EYE CARE SHOPKO EYE CARE 8225 S 27TH ST ASSOCIATES CENTER 4051 FRANKLIN, WI 53132 9200 W LOOMIS RD 1425 JANESVILLE AVE MARGARETTE ALCESTO O.D. (414) 761-2269 STE 204 FORT ATKINSON, WI 53538 WISCONSIN VISION INC FRANKLIN, WI 53132 (920) 563-2171 8225 S 27TH ST (414) 271-2020 FRANKLIN, WI 53132 JASON EDMONDS M.D. (414) 761-2269 MILWAUKEE EYE CARE SHOPKO OPTICAL 4051 ASSOCIATES OPT. GREGORY HUBERTUS O.D. 9200 W LOOMIS RD SHOPKO EYE CARE WISCONSIN VISION INC CENTER 4051 NICOLE AMIDON O.D. STE 204 8225 S 27TH ST 1425 JANESVILLE AVE WISCONSIN VISION INC FRANKLIN, WI 53132 FRANKLIN, WI 53132 FORT ATKINSON, WI 53538 8225 S 27TH ST (414) 271-2020 (414) 761-2269 (920) 563-2171 FRANKLIN, WI 53132 (414) 761-2269

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 16 of 79 FRANKLIN FRANKLIN FREDERIC FREDONIA

JEREMY KEMMERLING O.D. ANNA SADLER O.D. BRYCE VAUGN SCHNEIDER O.D. WISCONSIN VISION INC WISCONSIN VISION INC CHRISTOPHERSON O.D. PREMIER VISION 8225 S 27TH ST 8225 S 27TH ST FREDERIC EYE 120 MARTIN DR FRANKLIN, WI 53132 FRANKLIN, WI 53132 ASSOCAITES FREDONIA, WI 53021 (414) 761-2269 (414) 761-2269 108 OAK STREET (262) 692-9000 FREDERIC, WI 54837 (715) 327-8239 LOGAN KIEKHAFER O.D. YOSEPH SARRAFZADEH KRISTEN ZIEGLER O.D. WISCONSIN VISION INC O.D. PREMIER VISION LAWRENCE TRAN O.D. 8225 S 27TH ST WISCONSIN VISION INC 120 MARTIN DR FRANKLIN, WI 53132 8225 S 27TH ST FREDERIC EYE FREDONIA, WI 53021 ASSOCAITES (414) 761-2269 FRANKLIN, WI 53132 (262) 692-9000 (414) 761-2269 108 OAK STREET FREDERIC, WI 54837 (715) 327-8239 ANNA KOECK O.D. GERMANTOWN WISCONSIN VISION INC MACKENZIE SWARD M.D. 8225 S 27TH ST MILWAUKEE EYE CARE FREDONIA CHRIS HANSON O.D. FRANKLIN, WI 53132 ASSOCIATES GERMANTOWN VISION CTR (414) 761-2269 9200 W LOOMIS RD STE 204 W156N11048 PILGRIM RD JENNIFER ALVAREZ O.D. FRANKLIN, WI 53132 GERMANTOWN, WI 53022 PREMIER VISION (414) 271-2020 (262) 255-6895 JANICE LE O.D. 120 MARTIN DR WISCONSIN VISION INC FREDONIA, WI 53021 8225 S 27TH ST (262) 692-9000 DAVID WEIS O.D. GRAFTON FRANKLIN, WI 53132 (414) 761-2269 MILWAUKEE EYE CARE ASSOCIATES DAVID AYMOND M.D. 9200 W LOOMIS RD BRIAN ADLER O.D. PREMIER VISION STE 204 SHOPKO EYE CARE MEGAN LIND O.D. 120 MARTIN DR CENTER 4090 FRANKLIN, WI 53132 MILWAUKEE EYE CARE FREDONIA, WI 53021 1771 WISCONSIN AVE (414) 271-2020 ASSOCIATES (262) 692-9000 GRAFTON, WI 53024 9200 W LOOMIS RD (262) 375-0505 STE 204 JOSEPH WILSON O.D. FRANKLIN, WI 53132 DOUGLAS ORLICH O.D. WISCONSIN VISION INC (414) 271-2020 PREMIER VISION JENNIFER ALVAREZ O.D. 8225 S 27TH ST 120 MARTIN DR PERSPECTIVE AT CEDAR FRANKLIN, WI 53132 FREDONIA, WI 53021 CREEK ROBERT MATHAUS O.D. (414) 761-2269 (262) 692-9000 1106 WASHINGTON ST WISCONSIN VISION INC GRAFTON, WI 53024 8225 S 27TH ST (262) 376-1800 SARA WINKLER O.D. FRANKLIN, WI 53132 ERIC PEDERSEN O.D. WISCONSIN VISION INC (414) 761-2269 PREMIER VISION 8225 S 27TH ST 120 MARTIN DR NICOLE AMIDON O.D. FRANKLIN, WI 53132 FREDONIA, WI 53021 WISCONSIN VISION INC GREG MATUS O.D. (414) 761-2269 (262) 692-9000 1260 N PORT MATUS EYECARE SC WASHINGTON RD 7113 S 76TH ST GRAFTON, WI 53024 NICHOLAS ZAHN O.D. FRANKLIN, WI 53132 ADAM ROSA O.D. (262) 546-0234 WISCONSIN VISION INC (414) 427-4577 PREMIER VISION 8225 S 27TH ST 120 MARTIN DR FRANKLIN, WI 53132 TRISTAN BEGOTKA O.D. FREDONIA, WI 53021 ROBERT MEYER O.D. (414) 761-2269 BADGER OPTICAL OF (262) 692-9000 WISCONSIN VISION INC WISCONSIN 8225 S 27TH ST 1210 12TH AVE FRANKLIN, WI 53132 GRAFTON, WI 53024 (414) 761-2269 (262) 377-6800

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 17 of 79 GRAFTON GRAFTON GRAFTON GRAFTON

DONNA BELANGER O.D. KRISTINE EVANS O.D. LOGAN KIEKHAFER O.D. CHERYL ROERS O.D. WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC PERSPECTIVE AT CEDAR 1260 N PORT 1260 N PORT 1260 N PORT CREEK WASHINGTON RD WASHINGTON RD WASHINGTON RD 1106 WASHINGTON ST GRAFTON, WI 53024 GRAFTON, WI 53024 GRAFTON, WI 53024 GRAFTON, WI 53024 (262) 546-0234 (262) 546-0234 (262) 546-0234 (262) 376-1800

JEFFREY CHRISTIANSON SARA FALTER O.D. ANNA KOECK O.D. YOSEPH SARRAFZADEH O.D. PERSPECTIVE AT CEDAR WISCONSIN VISION INC O.D. WISCONSIN VISION INC CREEK 1260 N PORT WISCONSIN VISION INC 1260 N PORT 1106 WASHINGTON ST WASHINGTON RD 1260 N PORT WASHINGTON RD GRAFTON, WI 53024 GRAFTON, WI 53024 WASHINGTON RD GRAFTON, WI 53024 (262) 376-1800 (262) 546-0234 GRAFTON, WI 53024 (262) 546-0234 (262) 546-0234

AARON GRUBER O.D. SHANNON MACNAB O.D. PAUL DALECKY O.D. PERSPECTIVE AT CEDAR SHOPKO EYE CARE DAVID SLAGOWSKI O.D. WISCONSIN VISION INC CREEK CENTER 4090 SHOPKO EYE CARE 1260 N PORT 1106 WASHINGTON ST 1771 WISCONSIN AVE CENTER 4090 WASHINGTON RD GRAFTON, WI 53024 GRAFTON, WI 53024 1771 WISCONSIN AVE GRAFTON, WI 53024 (262) 376-1800 (262) 375-0505 GRAFTON, WI 53024 (262) 546-0234 (262) 375-0505

GREGORY HUBERTUS O.D. ROBERT MATHAUS O.D. CYNTHIA DECKER-RIDDLE WISCONSIN VISION INC WISCONSIN VISION INC KRISTIE THIEME O.D. O.D. 1260 N PORT 1260 N PORT SHOPKO EYE CARE WISCONSIN VISION INC WASHINGTON RD WASHINGTON RD CENTER 4090 1260 N PORT GRAFTON, WI 53024 GRAFTON, WI 53024 1771 WISCONSIN AVE WASHINGTON RD (262) 546-0234 (262) 546-0234 GRAFTON, WI 53024 GRAFTON, WI 53024 (262) 375-0505 (262) 546-0234 ADAM KAMINSKI OPT. ROBERT MEYER O.D. BADGER OPTICAL OF WISCONSIN VISION INC JOSEPH WILSON O.D. KRISTEN DORMAN O.D. WISCONSIN 1260 N PORT WISCONSIN VISION INC SHOPKO EYE CARE 1210 12TH AVE WASHINGTON RD 1260 N PORT CENTER 4090 GRAFTON, WI 53024 GRAFTON, WI 53024 WASHINGTON RD 1771 WISCONSIN AVE (262) 377-6800 (262) 546-0234 GRAFTON, WI 53024 GRAFTON, WI 53024 (262) 546-0234 (262) 375-0505 PAUL KAPPELL O.D. MICHELLE MUELLER O.D. BADGER OPTICAL OF SHOPKO EYE CARE SARA WINKLER O.D. THOMAS ELSON O.D. WISCONSIN CENTER 4090 WISCONSIN VISION INC WISCONSIN VISION INC 1210 12TH AVE 1771 WISCONSIN AVE 1260 N PORT 1260 N PORT GRAFTON, WI 53024 GRAFTON, WI 53024 WASHINGTON RD WASHINGTON RD (262) 377-6800 (262) 375-0505 GRAFTON, WI 53024 GRAFTON, WI 53024 (262) 546-0234 (262) 546-0234 JEREMY KEMMERLING O.D. SHOPKO OPTICAL 4090 WISCONSIN VISION INC OPT. KELLYE ZAPORSKI O.D. LYNDA ENEMUOH O.D. 1260 N PORT SHOPKO EYE CARE SHOPKO EYE CARE WISCONSIN VISION INC WASHINGTON RD CENTER 4090 CENTER 4090 1260 N PORT GRAFTON, WI 53024 1771 WISCONSIN AVE 1771 WISCONSIN AVE WASHINGTON RD (262) 546-0234 GRAFTON, WI 53024 GRAFTON, WI 53024 GRAFTON, WI 53024 (262) 375-0505 (262) 375-0505 (262) 546-0234

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 18 of 79 GRANTSBURG GREEN BAY GREEN BAY GREEN BAY

BRYCE AMERICAS BEST OPT. BRIAN COOK O.D. CYNTHIA DECKER-RIDDLE CHRISTOPHERSON O.D. AMERICAS BEST SHOPKO STORES INC 4177 O.D. GRANTSBURG EYE 1499 W MASON ST 2320 LINEVILLE RD WISCONSIN VISION INC ASSOCIATES GREEN BAY, WI 54303 GREEN BAY, WI 54313 2158 W MASON ST 617 S PINE STREET (920) 965-9113 (920) 434-5845 GREEN BAY, WI 54303 GRANTSBURG, WI 54840 (920) 490-9860 (715) 463-2370 GLENN CARLI O.D. ERIN DAGGETT O.D. ADVANCED EYECARE SHOPKO EYE CARE CATHERINE EGGERT O.D. SANDRA DOLPHIN O.D. CENTER CENTER 4001 THE EYECARE PLACE LLC GRANTSBURG EYE 3237 RIVERSIDE DR 216 S MILITARY AVE 550 N MILITARY AVE ASSOCIATES STE A GREEN BAY, WI 54303 STE 10 617 S PINE STREET GREEN BAY, WI 54301 (920) 494-3384 GREEN BAY, WI 54303 GRANTSBURG, WI 54840 (920) 336-2020 (920) 498-2020 (715) 463-2370 ERIN DAGGETT O.D. ANN MEIER CARLI O.D. SHOPKO EYE CARE STEVEN EGGERT O.D. LAWRENCE TRAN O.D. ADVANCED EYECARE CENTER 4002 THE EYECARE PLACE LLC GRANTSBURG EYE CENTER 301 BAY PARK SQ 550 N MILITARY AVE ASSOCIATES 3237 RIVERSIDE DR GREEN BAY, WI 54304 STE 10 617 S PINE STREET STE A (920) 499-3511 GREEN BAY, WI 54303 GRANTSBURG, WI 54840 GREEN BAY, WI 54301 (920) 498-2020 (715) 463-2370 (920) 336-2020 ERIN DAGGETT O.D. SHOPKO EYE CARE GREEN BAY JAMES ELM O.D. JEFFREY CHRISTIANSON CENTER 4004 DR ELM & ASSOCIATES O.D. 2430 E MASON ST 2811 S ONEIDA ST WISCONSIN VISION INC GREEN BAY, WI 54302 NICOLE AMIDON O.D. GREEN BAY, WI 54304 2158 W MASON ST (920) 468-4642 WISCONSIN VISION INC (920) 496-9699 GREEN BAY, WI 54303 2158 W MASON ST (920) 490-9860 GREEN BAY, WI 54303 ERIN DAGGETT O.D. (920) 490-9860 THOMAS ELSON O.D. SHOPKO EYE CARE TARGET OPTICAL CENTER 4502 BRIAN COOK O.D. 1001 COMIER RD SHOPKO EYE CARE 2585 LINEVILLE RD JEFF BANAS O.D. GREEN BAY, WI 54304 CENTER 4001 GREEN BAY, WI 54313 WISCONSIN VISION INC (920) 499-5873 216 S MILITARY AVE (920) 662-9450 2158 W MASON ST GREEN BAY, WI 54303 GREEN BAY, WI 54303 (920) 494-3384 THOMAS ELSON O.D. (920) 490-9860 ERIN DAGGETT O.D. WISCONSIN VISION INC SHOPKO STORES INC 4177 2158 W MASON ST BRIAN COOK O.D. 2320 LINEVILLE RD JOHN BANKOWSKI O.D. GREEN BAY, WI 54303 SHOPKO EYE CARE GREEN BAY, WI 54313 AMERICAS BEST (920) 490-9860 CENTER 4002 (920) 434-5845 1499 W MASON ST 301 BAY PARK SQ GREEN BAY, WI 54303 GREEN BAY, WI 54304 LYNDA ENEMUOH O.D. (920) 965-9113 (920) 499-3511 PAUL DALECKY O.D. WISCONSIN VISION INC WISCONSIN VISION INC 2158 W MASON ST 2158 W MASON ST DONNA BELANGER O.D. GREEN BAY, WI 54303 BRIAN COOK O.D. GREEN BAY, WI 54303 WISCONSIN VISION INC (920) 490-9860 SHOPKO EYE CARE (920) 490-9860 2158 W MASON ST CENTER 4502 GREEN BAY, WI 54303 2585 LINEVILLE RD (920) 490-9860 GREEN BAY, WI 54313 (920) 662-9450

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 19 of 79 GREEN BAY GREEN BAY GREEN BAY GREEN BAY

JAMIE ERTL O.D. PAUL HERZFELD O.D. KELLY KESTI O.D. CARIN LACOUNT O.D. SHOPKO EYE CARE VISION MART LENSCRAFTERS SHOPKO EYE CARE CENTER 4001 2476 S ONEIDA ST 303 CENTER 4004 216 S MILITARY AVE GREEN BAY, WI 54304 GREEN BAY, WI 54304 2430 E MASON ST GREEN BAY, WI 54303 (920) 965-0260 (920) 497-8242 GREEN BAY, WI 54302 (920) 494-3384 (920) 468-4642

GREGORY HUBERTUS O.D. KYLE KLIKA O.D. KRISTINE EVANS O.D. WISCONSIN VISION INC SHOPKO EYE CARE CARIN LACOUNT O.D. WISCONSIN VISION INC 2158 W MASON ST CENTER 4001 SHOPKO EYE CARE 2158 W MASON ST GREEN BAY, WI 54303 216 S MILITARY AVE CENTER 4502 GREEN BAY, WI 54303 (920) 490-9860 GREEN BAY, WI 54303 2585 LINEVILLE RD (920) 490-9860 (920) 494-3384 GREEN BAY, WI 54313 (920) 662-9450 PEASE T J & ASSOC OPT. NATHAN FORST O.D. PEASE T J & ASSOC KYLE KLIKA O.D. SHOPKO EYE CARE 2324 UNIVERSITY AVE SHOPKO EYE CARE CARIN LACOUNT O.D. CENTER 4001 GREEN BAY, WI 54302 CENTER 4004 SHOPKO STORES INC 4177 216 S MILITARY AVE (920) 469-0606 2430 E MASON ST 2320 LINEVILLE RD GREEN BAY, WI 54303 GREEN BAY, WI 54302 GREEN BAY, WI 54313 (920) 494-3384 (920) 468-4642 (920) 434-5845 CRAIG KELLER O.D. SHOPKO EYE CARE NATHAN FORST O.D. CENTER 4001 KYLE KLIKA O.D. TERESA LANGEN O.D. SHOPKO EYE CARE 216 S MILITARY AVE SHOPKO STORES INC 4177 DR ELM & ASSOCIATES CENTER 4004 GREEN BAY, WI 54303 2320 LINEVILLE RD 2811 S ONEIDA ST 2430 E MASON ST (920) 494-3384 GREEN BAY, WI 54313 GREEN BAY, WI 54304 GREEN BAY, WI 54302 (920) 434-5845 (920) 496-9699 (920) 468-4642 CRAIG KELLER O.D. SHOPKO EYE CARE MARK KONYN O.D. TYLER LEE O.D. JASON GOSPODAREK O.D. CENTER 4002 AMERICAS BEST AMERICAS BEST JASON GOSPODAREK OD 301 BAY PARK SQ 1499 W MASON ST 1499 W MASON ST 2470 WEST MASON ST GREEN BAY, WI 54304 GREEN BAY, WI 54303 GREEN BAY, WI 54303 GREEN BAY, WI 54304 (920) 499-3511 (920) 965-9113 (920) 965-9113 (920) 737-8000

CRAIG KELLER O.D. CARIN LACOUNT O.D. . LENSCRAFTERS #1327 MICHELLE GUSTIN O.D. SHOPKO EYE CARE SHOPKO EYE CARE OPT. LENSCRAFTERS CENTER 4004 CENTER 4001 LENSCRAFTERS 303 BAY PARK SQUARE 2430 E MASON ST 216 S MILITARY AVE 303 BAY PARK SQUARE GREEN BAY, WI 54304 GREEN BAY, WI 54302 GREEN BAY, WI 54303 GREEN BAY, WI 54304 (920) 497-8242 (920) 468-4642 (920) 494-3384 (920) 497-8242

THOMAS HANSETER O.D. CRAIG KELLER O.D. CARIN LACOUNT O.D. DAVID LIEBURN O.D. LENSCRAFTERS SHOPKO EYE CARE SHOPKO EYE CARE SHOPKO EYE CARE 303 BAY PARK SQUARE CENTER 4502 CENTER 4002 CENTER 4001 GREEN BAY, WI 54304 2585 LINEVILLE RD 301 BAY PARK SQ 216 S MILITARY AVE (920) 497-8242 GREEN BAY, WI 54313 GREEN BAY, WI 54304 GREEN BAY, WI 54303 (920) 662-9450 (920) 499-3511 (920) 494-3384

PETER HARB O.D. AMERICAS BEST CRAIG KELLER O.D. 1499 W MASON ST SHOPKO STORES INC 4177 GREEN BAY, WI 54303 2320 LINEVILLE RD (920) 965-9113 GREEN BAY, WI 54313 (920) 434-5845

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 20 of 79 GREEN BAY GREEN BAY GREEN BAY GREEN BAY

DAVID LIEBURN O.D. MARK MANCHESKI O.D. MICHELLE MUELLER O.D. SHOPKO OPTICAL 4177 SHOPKO EYE CARE MANCHESKI VISION CLINIC SHOPKO EYE CARE OPT. CENTER 4002 1250 E MASON ST CENTER 4502 SHOPKO STORES INC 4177 301 BAY PARK SQ GREEN BAY, WI 54301 2585 LINEVILLE RD 2320 LINEVILLE RD GREEN BAY, WI 54304 (920) 432-3180 GREEN BAY, WI 54313 GREEN BAY, WI 54313 (920) 499-3511 (920) 662-9450 (920) 434-5845

LOUISE MARQUARDT O.D. DAVID LIEBURN O.D. LENSCRAFTERS MICHELLE MUELLER O.D. SHOPKO OPTICAL 4502 OPT. SHOPKO EYE CARE 303 BAY PARK SQUARE SHOPKO STORES INC 4177 CENTER 4004 GREEN BAY, WI 54304 2320 LINEVILLE RD SHOPKO EYE CARE CENTER 4502 2430 E MASON ST (920) 497-8242 GREEN BAY, WI 54313 2585 LINEVILLE RD GREEN BAY, WI 54302 (920) 434-5845 (920) 468-4642 GREEN BAY, WI 54313 (920) 662-9450 ROBERT MATHAUS O.D. WISCONSIN VISION INC SEARS OPTICAL OPT. DAVID LIEBURN O.D. 2158 W MASON ST SEARS OPTICAL OSCAR ORTIZ O.D. SHOPKO EYE CARE GREEN BAY, WI 54303 1555 GREEN BAY PLAZA CENTER 4502 AMERICAS BEST (920) 490-9860 GREEN BAY, WI 54304 1499 W MASON ST 2585 LINEVILLE RD (920) 498-6064 GREEN BAY, WI 54313 GREEN BAY, WI 54303 (920) 662-9450 (920) 965-9113 TONY MATUSZAK O.D. AMERICAS BEST TARGET OPTICAL OPT. 1499 W MASON ST TARGET OPTICAL DAVID LIEBURN O.D. RANDALL PAYE O.D. GREEN BAY, WI 54303 1001 COMIER RD SHOPKO STORES INC 4177 PAYE EYE CARE CENTER (920) 965-9113 GREEN BAY, WI 54304 1515 SIXTH ST 2320 LINEVILLE RD (920) 499-5873 GREEN BAY, WI 54313 GREEN BAY, WI 54304 (920) 434-5845 (920) 499-2147 FRANCIS MOES O.D. MOES VISION CENTER SHOPKO OPTICAL 4001 605 S MILITARY AVE OPT. CATHERINE LOUGHRIN AMY PEOT O.D. GREEN BAY, WI 54303 SHOPKO EYE CARE O.D. CENTER 4001 SHOPKO EYE CARE (920) 497-2223 SHOPKO EYE CARE 216 S MILITARY AVE CENTER 4002 CENTER 4001 GREEN BAY, WI 54303 301 BAY PARK SQ 216 S MILITARY AVE (920) 494-3384 GREEN BAY, WI 54304 MICHELLE MUELLER O.D. GREEN BAY, WI 54303 (920) 499-3511 (920) 494-3384 SHOPKO EYE CARE CENTER 4001 SHOPKO OPTICAL 4002 216 S MILITARY AVE OPT. AMY PEOT O.D. GREEN BAY, WI 54303 ANDREW MAGIERA O.D. SHOPKO EYE CARE SHOPKO EYE CARE SEARS OPTICAL (920) 494-3384 CENTER 4002 CENTER 4502 1555 GREEN BAY PLAZA 301 BAY PARK SQ 2585 LINEVILLE RD GREEN BAY, WI 54304 GREEN BAY, WI 54304 GREEN BAY, WI 54313 MICHELLE MUELLER O.D. (920) 498-6064 (920) 499-3511 (920) 662-9450 SHOPKO EYE CARE CENTER 4002 301 BAY PARK SQ CYNTHIA MALVITZ- SHOPKO OPTICAL 4004 PATRICK SAMELS O.D. GREEN BAY, WI 54304 OVERLY O.D. OPT. MODERN EYES (920) 499-3511 PAYE EYE CARE CENTER SHOPKO EYE CARE 2330 ONEIDA ST 1515 SIXTH ST CENTER 4004 STE 106 GREEN BAY, WI 54304 2430 E MASON ST GREEN BAY, WI 54304 MICHELLE MUELLER O.D. (920) 499-2147 GREEN BAY, WI 54302 (920) 499-3937 SHOPKO EYE CARE (920) 468-4642 CENTER 4004 2430 E MASON ST GREEN BAY, WI 54302 (920) 468-4642

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 21 of 79 GREEN BAY GREEN BAY GREEN BAY GREEN BAY

YOSEPH SARRAFZADEH APRIL SWIM O.D. GARY TACKMAN O.D. NICOLE WENMAN O.D. O.D. SHOPKO EYE CARE SHOPKO EYE CARE THE EYECARE PLACE LLC WISCONSIN VISION INC CENTER 4001 CENTER 4502 550 N MILITARY AVE 2158 W MASON ST 216 S MILITARY AVE 2585 LINEVILLE RD STE 10 GREEN BAY, WI 54303 GREEN BAY, WI 54303 GREEN BAY, WI 54313 GREEN BAY, WI 54303 (920) 490-9860 (920) 494-3384 (920) 662-9450 (920) 498-2020

JAMES SCHMONSKY O.D. APRIL SWIM O.D. GARY TACKMAN O.D. JOSEPH WILSON O.D. SHOPKO EYE CARE SHOPKO EYE CARE SHOPKO STORES INC 4177 WISCONSIN VISION INC CENTER 4001 CENTER 4002 2320 LINEVILLE RD 2158 W MASON ST 216 S MILITARY AVE 301 BAY PARK SQ GREEN BAY, WI 54313 GREEN BAY, WI 54303 GREEN BAY, WI 54303 GREEN BAY, WI 54304 (920) 434-5845 (920) 490-9860 (920) 494-3384 (920) 499-3511

SANDRINE TAGNI KOUNGA SARA WINKLER O.D. JAMES SCHMONSKY O.D. APRIL SWIM O.D. O.D. WISCONSIN VISION INC SHOPKO EYE CARE SHOPKO EYE CARE AMERICAS BEST 2158 W MASON ST CENTER 4002 CENTER 4004 1499 W MASON ST GREEN BAY, WI 54303 301 BAY PARK SQ 2430 E MASON ST GREEN BAY, WI 54303 (920) 490-9860 GREEN BAY, WI 54304 GREEN BAY, WI 54302 (920) 965-9113 (920) 499-3511 (920) 468-4642 NICHOLAS ZAHN O.D. ASHLEY TORREANO O.D. WISCONSIN VISION INC JAMES SCHMONSKY O.D. APRIL SWIM O.D. THE EYECARE PLACE LLC 2158 W MASON ST SHOPKO EYE CARE SHOPKO EYE CARE 550 N MILITARY AVE CENTER 4004 CENTER 4502 GREEN BAY, WI 54303 STE 10 (920) 490-9860 2430 E MASON ST 2585 LINEVILLE RD GREEN BAY, WI 54303 GREEN BAY, WI 54302 GREEN BAY, WI 54313 (920) 498-2020 (920) 468-4642 (920) 662-9450 GREENDALE

DAVID VANDERLOOP O.D. JAMES SCHMONSKY O.D. GARY TACKMAN O.D. LENSCRAFTERS AMERICAS BEST OPT. SHOPKO EYE CARE SHOPKO EYE CARE 303 BAY PARK SQUARE AMERICAS BEST CENTER 4502 CENTER 4001 GREEN BAY, WI 54304 5497 S 76TH ST 2585 LINEVILLE RD 216 S MILITARY AVE (920) 497-8242 GREENDALE, WI 53129 GREEN BAY, WI 54313 GREEN BAY, WI 54303 (414) 423-0293 (920) 662-9450 (920) 494-3384 KEVIN VOSS O.D. MOES VISION CENTER NIM BHAVSAR O.D. KARL SCHWANDT O.D. GARY TACKMAN O.D. 605 S MILITARY AVE AMERICAS BEST AMERICAS BEST SHOPKO EYE CARE GREEN BAY, WI 54303 5497 S 76TH ST 1499 W MASON ST CENTER 4002 (920) 497-2223 GREENDALE, WI 53129 GREEN BAY, WI 54303 301 BAY PARK SQ (414) 423-0293 (920) 965-9113 GREEN BAY, WI 54304 (920) 499-3511 KEVIN VOSS O.D. THE EYECARE PLACE LLC MARK KONYN O.D. JEFFREY SMITH O.D. 550 N MILITARY AVE AMERICAS BEST AMERICAS BEST GARY TACKMAN O.D. STE 10 5497 S 76TH ST 1499 W MASON ST SHOPKO EYE CARE GREEN BAY, WI 54303 GREENDALE, WI 53129 GREEN BAY, WI 54303 CENTER 4004 (920) 498-2020 (414) 423-0293 (920) 965-9113 2430 E MASON ST GREEN BAY, WI 54302 (920) 468-4642

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 22 of 79 GREENDALE GREENVILLE HALES CORNERS HARTFORD

TYLER LEE O.D. ANDREW MAGIERA O.D. HERSLOF OPTICIANS OPT. SCOTT KENITZ O.D. AMERICAS BEST GREENVILLE EYECARE HERSLOF OPTICIANS AURORA HEALTHCARE 5497 S 76TH ST LLC 5300 S 108TH ST 1640 E SUMNER ST GREENDALE, WI 53129 N 1739 LILY OF THE STE 24 HARTFORD, WI 53027 (414) 423-0293 VALLEY DR HALES CORNERS, WI (262) 670-4000 STE 2 53130 GREENVILLE, WI 54942 (414) 425-8190 TONY MATUSZAK O.D. (920) 560-3937 MICHELLE KWON O.D. AMERICAS BEST EYE DEAL OPTICAL 5497 S 76TH ST QIAN YANG O.D. 1489 E SUMNER HALES CORNERS GREENDALE, WI 53129 OPHTHALMOLOGY HARTFORD, WI 53027 (414) 423-0293 ASSOICATES SC (262) 673-7737 6080 S 108TH ST MARK DAGENAIS O.D. HALES CORNERS, WI DRS PAUL GODICH & 53130 JCPENNEY OPTICAL OPT. SCOTT MORETTI M.D. 10555 W PARNELL AVE (414) 425-9002 JCPENNEY OPTICAL HALES CORNERS, WI AURORA HEALTHCARE 5350 S 76TH ST 53130 1640 E SUMNER ST GREENDALE, WI 53129 (414) 425-4141 HARTFORD HARTFORD, WI 53027 (414) 423-4222 (262) 670-4000

JACLYN GARLICH O.D. ZHALEH BARARI O.D. MARGUERITE OPHTHALMOLOGY SCHAEFER & ASSOCIATES STEPHEN NEBEL O.D. RICHARDSON O.D. ASSOICATES SC EYECARE EYE DEAL OPTICAL JCPENNEY OPTICAL 6080 S 108TH ST 23 SOUTH MAIN STREET 1489 E SUMNER 5350 S 76TH ST HALES CORNERS, WI HARTFORD, WI 53027 HARTFORD, WI 53027 GREENDALE, WI 53129 53130 (262) 673-7711 (262) 673-7737 (414) 423-4222 (414) 425-9002

EYE DEAL OPTICAL OPT. HERSLOF OPTICIANS OPT. KARL SCHWANDT O.D. PAUL GODICH O.D. EYE DEAL OPTICAL HERSLOF OPTICIANS AMERICAS BEST DRS PAUL GODICH & 1489 E SUMNER 23 S MAIN ST 5497 S 76TH ST 10555 W PARNELL AVE HARTFORD, WI 53027 STE B GREENDALE, WI 53129 HALES CORNERS, WI (262) 673-7737 HARTFORD, WI 53027 (414) 423-0293 53130 (262) 673-9689 (414) 425-4141 VAUGHN DZIK OPT. JEFFREY SMITH O.D. EYE DEAL OPTICAL RICHARD PEARSON O.D. PAUL HERZFELD O.D. AMERICAS BEST 1489 E SUMNER EYE DEAL OPTICAL 5497 S 76TH ST HERSLOF OPTICIANS HARTFORD, WI 53027 1489 E SUMNER GREENDALE, WI 53129 5300 S 108TH ST (262) 673-7737 HARTFORD, WI 53027 (414) 423-0293 STE 24 (262) 673-7737 HALES CORNERS, WI 53130 AURORA HEALTHCARE (414) 425-8190 SANDRINE TAGNI KOUNGA OPT. JOHN WEAVER O.D. O.D. AURORA HEALTHCARE AURORA HEALTHCARE AMERICAS BEST 1640 E SUMNER ST 1640 E SUMNER ST HART MOSS M.D. 5497 S 76TH ST HARTFORD, WI 53027 HARTFORD, WI 53027 OPHTHALMOLOGY GREENDALE, WI 53129 (262) 670-4000 (262) 670-4000 (414) 423-0293 ASSOICATES SC 6080 S 108TH ST HALES CORNERS, WI PAUL HERZFELD O.D. 53130 HERSLOF OPTICIANS (414) 425-9002 23 S MAIN ST STE B HARTFORD, WI 53027 (262) 673-9689

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 23 of 79 HARTLAND HAYWARD HUDSON HUDSON

CHRISTIAN CAMUS O.D. KEVIN JACOBSON O.D. BOBBIE BARSNESS O.D. SARA MABIE O.D. AURORA HEALTHCARE NORTHVIEW EYE HUDSON OPTICAL PEARLE VISION 600 WALNUT RIDGE DR ASSOCIATES LLC 1801 WARD AVE 113 CARMICHAEL RD HARTLAND, WI 53029 15936 US HIGHWAY 63 STE 264 HUDSON, WI 54016 (262) 369-7040 HAYWARD, WI 54843 HUDSON, WI 54016 (715) 377-7970 (715) 634-1028 (715) 386-8401

JOSEPHINE-LIEZL CUETO RONALD MCCANN O.D. M.D. TRACY KOCEMBA O.D. JAMES BREKKE O.D. PEARLE VISION AURORA HEALTHCARE NORTHVIEW EYE PEARLE VISION 113 CARMICHAEL RD 600 WALNUT RIDGE DR ASSOCIATES LLC 113 CARMICHAEL RD HUDSON, WI 54016 HARTLAND, WI 53029 15936 US HIGHWAY 63 HUDSON, WI 54016 (715) 377-7970 (262) 369-7040 HAYWARD, WI 54843 (715) 377-7970 (715) 634-1028 RENEE RITZER O.D. AMBER DENTZ O.D. GARTH CHRISTENSON O.D. PEARLE VISION LAKE COUNTRY EYE CARE MICHAEL SEEBRUCK O.D. CHRISTENSON VISION 113 CARMICHAEL RD LLC NORTHVIEW EYE CARE HUDSON, WI 54016 ASSOCIATES LLC 520 HARTBROOK DR 2215 VINE ST (715) 377-7970 HARTLAND, WI 53029 15936 US HIGHWAY 63 STE E (262) 367-6610 HAYWARD, WI 54843 HUDSON, WI 54016 (715) 634-1028 (715) 381-1234 LAUREN SOUKUP O.D. CHRISTENSON VISION MARY ELLIS M.D. CARE HOLMEN AURORA HEALTHCARE ALLISON CRUTCHMER O.D. 2215 VINE ST 600 WALNUT RIDGE DR PEARLE VISION STE E HARTLAND, WI 53029 HOLLY FISHER O.D. 113 CARMICHAEL RD HUDSON, WI 54016 (262) 369-7040 OPTICAL FASHIONS HUDSON, WI 54016 (715) 381-1234 814 S MAIN ST (715) 377-7970 STE A NORAH KHANGURA M.D. JACKSON HOLMEN, WI 54636 AURORA HEALTHCARE KRISTEN DESAUTEL O.D. (608) 782-7127 600 WALNUT RIDGE DR PEARLE VISION ZHALEH BARARI O.D. HARTLAND, WI 53029 113 CARMICHAEL RD JACKSON VISION CENTER (262) 369-7040 HUDSON, WI 54016 KENDRA GARBRECHT O.D. W194N16747 EAGLE DR (715) 377-7970 OPTICAL FASHIONS STE N 814 S MAIN ST SPENCER ROGERS M.D. JACKSON, WI 53037 STE A AURORA HEALTHCARE MICKI FLYNN O.D. (262) 677-4313 HOLMEN, WI 54636 600 WALNUT RIDGE DR CHRISTENSON VISION (608) 782-7127 HARTLAND, WI 53029 CARE (262) 369-7040 2215 VINE ST EDWARD COPE O.D. STE E JACKSON CLINIC MATHEW MERGENTHALER HUDSON, WI 54016 W225N16711 CEDAR PARK O.D. CT HAYWARD (715) 381-1234 OPTICAL FASHIONS JACKSON, WI 53037 814 S MAIN ST (262) 677-1101 TIMOTHY FREDERIKSEN STE A DAVID HANSEN O.D. O.D. HOLMEN, WI 54636 PEARLE VISION HAYWARD FAMILY EYE (608) 782-7127 MARK MEULER O.D. 113 CARMICHAEL RD CARE INC JACKSON CLINIC HUDSON, WI 54016 15569 RAILROAD ST W225N16711 CEDAR PARK (715) 377-7970 STE 301 BRENDA WEDIG O.D. CT HAYWARD, WI 54843 OPTICAL FASHIONS JACKSON, WI 53037 (715) 634-8616 814 S MAIN ST (262) 677-1101 STE A HOLMEN, WI 54636 (608) 782-7127

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 24 of 79 JACKSON JANESVILLE JANESVILLE JANESVILLE

KAREN SOLOFSKY O.D. JAMIE BLAVAT O.D. ERIN DUNPHY O.D. JAMES GERAETS O.D. JACKSON CLINIC LENSCRAFTERS MERCY MALL VISION GERAETS VISION CTR INC W225N16711 CEDAR PARK 2500 MILTON AVE CENTER 2704 N PONTIAC DR CT JANESVILLE, WI 53545 1010 N WASHINGTON ST JANESVILLE, WI 53545 JACKSON, WI 53037 (608) 757-2633 JANESVILLE, WI 53548 (608) 758-2020 (262) 677-1101 (608) 741-6794

AMANDA CHEEK O.D. KRISTOPHER GLANVILLE AMY WEAVER O.D. LENSCRAFTERS JAMES DUSENBERRY O.D. O.D. JACKSON CLINIC 2500 MILTON AVE LENSCRAFTERS LENSCRAFTERS W225N16711 CEDAR PARK JANESVILLE, WI 53545 2500 MILTON AVE 2500 MILTON AVE CT (608) 757-2633 JANESVILLE, WI 53545 JANESVILLE, WI 53545 JACKSON, WI 53037 (608) 757-2633 (608) 757-2633 (262) 677-1101 JEFFREY CHRISTIANSON O.D. THOMAS ELSON O.D. GREGORY HUBERTUS O.D. JANESVILLE WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC 2929 MILTON AVE 2929 MILTON AVE 2929 MILTON AVE STE 140 STE 140 STE 140 BRIAN ADLER O.D. JANESVILLE, WI 53545 JANESVILLE, WI 53545 JANESVILLE, WI 53545 SHOPKO EYE CARE CENTER 4030 (608) 756-0728 (608) 756-0728 (608) 756-0728 2500 HWY 14 JANESVILLE, WI 53545 PAUL DALECKY O.D. LYNDA ENEMUOH O.D. PENNY IVERSON- (608) 754-7411 WISCONSIN VISION INC WISCONSIN VISION INC AMMERAAL O.D. 2929 MILTON AVE 2929 MILTON AVE SHOPKO EYE CARE CENTER 4030 NICOLE AMIDON O.D. STE 140 STE 140 2500 HWY 14 WISCONSIN VISION INC JANESVILLE, WI 53545 JANESVILLE, WI 53545 JANESVILLE, WI 53545 2929 MILTON AVE (608) 756-0728 (608) 756-0728 (608) 754-7411 STE 140 JANESVILLE, WI 53545 CYNTHIA DECKER-RIDDLE LANCE ENGDAHL O.D. (608) 756-0728 JUSTIN JOHNSON O.D. O.D. LENSCRAFTERS SHOPKO EYE CARE WISCONSIN VISION INC 2500 MILTON AVE 2929 MILTON AVE CENTER 4030 JEFF BANAS O.D. JANESVILLE, WI 53545 STE 140 2500 HWY 14 WISCONSIN VISION INC (608) 757-2633 JANESVILLE, WI 53545 JANESVILLE, WI 53545 2929 MILTON AVE (608) 756-0728 (608) 754-7411 STE 140 JANESVILLE, WI 53545 KRISTINE EVANS O.D. WISCONSIN VISION INC (608) 756-0728 RICHARD JUN O.D. MEGAN DRAPER O.D. 2929 MILTON AVE LENSCRAFTERS SHOPKO EYE CARE STE 140 CENTER 4030 2500 MILTON AVE KATHERINE BEERNTSEN JANESVILLE, WI 53545 2500 HWY 14 JANESVILLE, WI 53545 O.D. (608) 756-0728 JANESVILLE, WI 53545 (608) 757-2633 LENSCRAFTERS (608) 754-7411 2500 MILTON AVE ALICJA FITZGERALD O.D. JANESVILLE, WI 53545 JEREMY KEMMERLING O.D. SHOPKO EYE CARE (608) 757-2633 WISCONSIN VISION INC ERIN DUNPHY O.D. CENTER 4030 MERCY CLINIC EAST EYE 2500 HWY 14 2929 MILTON AVE CENTER STE 140 DONNA BELANGER O.D. JANESVILLE, WI 53545 3524 E MILWAUKEE ST JANESVILLE, WI 53545 WISCONSIN VISION INC (608) 754-7411 JANESVILLE, WI 53546 (608) 756-0728 2929 MILTON AVE (608) 756-7110 STE 140 JANESVILLE, WI 53545 (608) 756-0728

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 25 of 79 JANESVILLE JANESVILLE JANESVILLE JANESVILLE

LOGAN KIEKHAFER O.D. MICHELLE MCLAUGHLIN JENNET SHEPHERD O.D. SARA WINKLER O.D. WISCONSIN VISION INC O.D. SHOPKO EYE CARE WISCONSIN VISION INC 2929 MILTON AVE MERCY MALL VISION CENTER 4030 2929 MILTON AVE STE 140 CENTER 2500 HWY 14 STE 140 JANESVILLE, WI 53545 1010 N WASHINGTON ST JANESVILLE, WI 53545 JANESVILLE, WI 53545 (608) 756-0728 JANESVILLE, WI 53548 (608) 754-7411 (608) 756-0728 (608) 741-6794

ANNA KOECK O.D. CHAD SLAGLE O.D. NICHOLAS ZAHN O.D. KRISTIN MOSEMAN O.D. WISCONSIN VISION INC SHOPKO EYE CARE WISCONSIN VISION INC 2929 MILTON AVE SHOPKO EYE CARE CENTER 4030 2929 MILTON AVE CENTER 4030 STE 140 2500 HWY 14 STE 140 2500 HWY 14 JANESVILLE, WI 53545 JANESVILLE, WI 53545 JANESVILLE, WI 53545 JANESVILLE, WI 53545 (608) 756-0728 (608) 754-7411 (608) 756-0728 (608) 754-7411

RACHEL LEFEBVRE O.D. THOMAS TRUPPE OPT. KAUKAUNA SHOPKO OPTICAL 4030 EYEWORKS MERCY MALL VISION OPT. CENTER 1305 EXCALIBUR DR SHOPKO EYE CARE JANESVILLE, WI 53546 MARK EBBEN O.D. 1010 N WASHINGTON ST CENTER 4030 (608) 756-2020 KAUKAUNA EYECARE JANESVILLE, WI 53548 2500 HWY 14 1 BANK AVE (608) 741-6794 JANESVILLE, WI 53545 KAUKAUNA, WI 54130 (608) 754-7411 THOMAS WAELTZ O.D. (920) 766-2481 LENSCRAFTERS #540 OPT. LENSCRAFTERS 2500 MILTON AVE LENSCRAFTERS RICHARD PEARSON O.D. JANESVILLE, WI 53545 ANDREW MAGIERA O.D. 2500 MILTON AVE EYEWORKS (608) 757-2633 KAUKAUNA EYECARE JANESVILLE, WI 53545 1305 EXCALIBUR DR 1 BANK AVE (608) 757-2633 JANESVILLE, WI 53546 KAUKAUNA, WI 54130 (608) 756-2020 CHRISTINE WARD O.D. (920) 766-2481 ROBERT MATHAUS O.D. SHOPKO EYE CARE CENTER 4030 WISCONSIN VISION INC JULIA RUNKEL O.D. 2500 HWY 14 DAVID VANDERLOOP O.D. 2929 MILTON AVE LENSCRAFTERS STE 140 JANESVILLE, WI 53545 CLEAR APPROACH 2500 MILTON AVE OPTOMETRY S.C. JANESVILLE, WI 53545 (608) 754-7411 JANESVILLE, WI 53545 1901 CROOKS AVE (608) 756-0728 (608) 757-2633 KAUKAUNA, WI 54130 HERBERT WEBB O.D. (920) 372-2555 DRS ELLIOTT & WEBB SC STEPHANIE MCCAIG O.D. YOSEPH SARRAFZADEH 1205 SUFFOLK DR LENSCRAFTERS O.D. JANESVILLE, WI 53546 KENOSHA 2500 MILTON AVE WISCONSIN VISION INC (608) 754-3379 JANESVILLE, WI 53545 2929 MILTON AVE (608) 757-2633 STE 140 BRIAN ADLER O.D. JANESVILLE, WI 53545 JOSEPH WILSON O.D. SHOPKO EYE CARE (608) 756-0728 CENTER 4031 WISCONSIN VISION INC MICHELLE MCLAUGHLIN 5300 52ND ST 2929 MILTON AVE O.D. KENOSHA, WI 53144 STE 140 MERCY CLINIC EAST EYE BRANDON SHEETZ O.D. (262) 658-8119 CENTER JANESVILLE, WI 53545 MERCY MALL VISION 3524 E MILWAUKEE ST CENTER (608) 756-0728 JANESVILLE, WI 53546 1010 N WASHINGTON ST NICOLE AMIDON O.D. (608) 756-7110 JANESVILLE, WI 53548 WISCONSIN VISION (608) 741-6794 5725 75TH ST KENOSHA, WI 53142 (262) 694-5553

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 26 of 79 KENOSHA KENOSHA KENOSHA KENOSHA

JENNIFER AYERS O.D. JEFFREY CHRISTIANSON BENJAMIN EMER O.D. ANNA KOECK O.D. AYERS EYE CARE O.D. PETER L EMER OD WISCONSIN VISION 5027 GREEN BAY RD WISCONSIN VISION 3612 ROOSEVELT RD 5725 75TH ST STE 110 5725 75TH ST KENOSHA, WI 53142 KENOSHA, WI 53142 KENOSHA, WI 53144 KENOSHA, WI 53142 (262) 652-1689 (262) 694-5553 (262) 925-9251 (262) 694-5553

PETER EMER O.D. MARK KONYN O.D. JEFF BANAS O.D. PAUL DALECKY O.D. PETER L EMER OD STERLING OPTICAL WISCONSIN VISION WISCONSIN VISION 3612 ROOSEVELT RD 7532 PERSHING BLVD 5725 75TH ST 5725 75TH ST KENOSHA, WI 53142 KENOSHA, WI 53142 KENOSHA, WI 53142 KENOSHA, WI 53142 (262) 652-1689 (262) 694-2400 (262) 694-5553 (262) 694-5553

LYNDA ENEMUOH O.D. JAMES KRIEGE O.D. DEBRA BARNETT O.D. CYNTHIA DECKER-RIDDLE WISCONSIN VISION SHOPKO EYE CARE O.D. BARNETT-WAMBOLDT 5725 75TH ST CENTER 4031 WISCONSIN VISION EYECARE KENOSHA, WI 53142 5300 52ND ST 5725 75TH ST 6116 39TH AVE (262) 694-5553 KENOSHA, WI 53144 KENOSHA, WI 53142 KENOSHA, WI 53142 (262) 658-8119 (262) 653-0100 (262) 694-5553 KRISTINE EVANS O.D. WISCONSIN VISION JANICE LE O.D. SHERRY DUFF OPT. TRISTAN BEGOTKA O.D. 5725 75TH ST WISCONSIN VISION EYE CENTERS OF REGNER FAMILY VISION KENOSHA, WI 53142 5725 75TH ST KENOSHA LTD CLINIC (262) 694-5553 KENOSHA, WI 53142 9916 75TH ST 4014 77TH ST (262) 694-5553 KENOSHA, WI 53142 STE 101 KENOSHA, WI 53142 (262) 694-9103 AURORA HEALTHCARE (262) 658-1937 OPT. GINA MADRIGAL OPT. AURORA HEALTHCARE EYE CENTERS OF DONNA BELANGER O.D. 6815 118TH AVE KENOSHA LTD THOMAS ELSON O.D. WISCONSIN VISION KENOSHA, WI 53142 9916 75TH ST 5725 75TH ST WISCONSIN VISION (262) 857-5600 STE 101 KENOSHA, WI 53142 5725 75TH ST KENOSHA, WI 53142 (262) 694-5553 KENOSHA, WI 53142 (262) 658-1937 (262) 694-5553 PAUL HERZFELD O.D. HERSLOF OPTICAL MARK BELTON OPT. 3719 80TH ST ROBERT MAHONEY O.D. PETER EMER O.D. EYE CENTERS OF KENOSHA, WI 53143 MEIJER OPTICAL KENOSHA LTD EMER EYE CARE (262) 697-0548 7701 GREEN BAY RD 9916 75TH ST 2301 75TH ST KENOSHA, WI 53142 STE 101 KENOSHA, WI 53143 (262) 697-5404 KENOSHA, WI 53142 (262) 654-6005 GREGORY HUBERTUS O.D. (262) 658-1937 WISCONSIN VISION 5725 75TH ST ROBERT MATHAUS O.D. BENJAMIN EMER O.D. KENOSHA, WI 53142 WISCONSIN VISION KENNETH BROWN OPT. EMER EYE CARE (262) 694-5553 5725 75TH ST EYETRENDZ 2301 75TH ST KENOSHA, WI 53142 3620 57TH AVE KENOSHA, WI 53143 (262) 694-5553 KENOSHA, WI 53144 (262) 654-6005 PETER KALINKA O.D. (262) 632-3939 SALEM VISION CENTER KENOSHA 3725 ROOSEVELT RD KENOSHA, WI 53142 (262) 654-7991

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 27 of 79 KENOSHA KENOSHA KENOSHA KIEL

SHOPKO OPTICAL 4031 YOSEPH SARRAFZADEH JOSEPH WILSON O.D. AARON GRUBER O.D. OPT. O.D. WISCONSIN VISION KIEL FAMILY EYECARE SHOPKO EYE CARE WISCONSIN VISION 5725 75TH ST 500 FREMONT ST CENTER 4031 5725 75TH ST KENOSHA, WI 53142 KIEL, WI 53042 5300 52ND ST KENOSHA, WI 53142 (262) 694-5553 (920) 894-2727 KENOSHA, WI 53144 (262) 694-5553 (262) 658-8119 SARA WINKLER O.D. CARIN LACOUNT O.D. DAVID SAVAGLIO O.D. WISCONSIN VISION SHOPKO OPTICAL MEIJER OPTICAL SHOP SAVAGLIO FAMILY VISION 5725 75TH ST 1120 ST RD 67 OPT. 3916 67 STREET KENOSHA, WI 53142 KIEL, WI 53042 MEIJER OPTICAL KENOSHA, WI 53142 (262) 694-5553 (920) 894-3604 7701 GREEN BAY RD (262) 657-7850 KENOSHA, WI 53142 (262) 697-5404 CARA YSTAD O.D. SHOPKO OPTICAL OPT. EFTHYMIA SHERMAN OPT. AURORA HEALTHCARE SHOPKO OPTICAL EYE CENTERS OF 6815 118TH AVE 1120 ST RD 67 HERSLOF OPTICIANS OPT. KENOSHA LTD KENOSHA, WI 53142 KIEL, WI 53042 HERSLOF OPTICAL 9916 75TH ST (262) 857-5600 (920) 894-3604 3719 80TH ST STE 101 KENOSHA, WI 53143 KENOSHA, WI 53142 (262) 697-0548 (262) 658-1937 KIEL LAURA RAU O.D. SHOPKO OPTICAL 1120 ST RD 67 STEPHEN PRUETT O.D. INDER SINGH M.D. JENNIFER ALVAREZ O.D. KIEL, WI 53042 EYE CENTERS OF KIEL FAMILY EYECARE EYE CENTERS OF (920) 894-3604 KENOSHA LTD KENOSHA LTD 500 FREMONT ST 9916 75TH ST 9916 75TH ST KIEL, WI 53042 STE 101 STE 101 (920) 894-2727 CHERYL ROERS O.D. KENOSHA, WI 53142 KENOSHA, WI 53142 KIEL FAMILY EYECARE (262) 658-1937 (262) 658-1937 500 FREMONT ST STEVEN EGGERT O.D. KIEL, WI 53042 EGGERT FAMILY EYECARE (920) 894-2727 JOSEPH ROMANAK O.D. KANWAR SINGH M.D. LLC ROMANAK VISION INC EYE CENTERS OF 707 PARK AVE 7323 60TH AVENUE KENOSHA LTD KIEL, WI 53042 DAVID SLAGOWSKI O.D. KENOSHA, WI 53142 9916 75TH ST (920) 894-2020 SHOPKO OPTICAL (262) 942-9899 STE 101 1120 ST RD 67 KENOSHA, WI 53142 KIEL, WI 53042 (262) 658-1937 CATHERINE EGGERT O.D. (920) 894-3604 JAMES ROSS O.D. EGGERT FAMILY EYECARE EYETRENDZ LLC 3620 57TH AVE JEFFREY THOMAS O.D. 707 PARK AVE KRISTIE THIEME O.D. KENOSHA, WI 53144 THOMAS EYE CARE KIEL, WI 53042 SHOPKO OPTICAL (262) 632-3939 2305 30TH AVE (920) 894-2020 1120 ST RD 67 KENOSHA, WI 53144 KIEL, WI 53042 (262) 597-2020 RADHA SANKA M.D. SARA FALTER O.D. (920) 894-3604 EYE CENTERS OF KIEL FAMILY EYECARE KENOSHA LTD JAMES WHITE OPT. 500 FREMONT ST ASHLEY TORREANO O.D. 9916 75TH ST WE OPTICIANS OF KIEL, WI 53042 STE 101 KENOSHA LTD (920) 894-2727 EGGERT FAMILY EYECARE LLC KENOSHA, WI 53142 708 55TH ST 707 PARK AVE (262) 658-1937 KENOSHA, WI 53140 KIEL, WI 53042 (262) 656-0101 (920) 894-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 28 of 79 KIEL KIMBERLY KIMBERLY LA CROSSE

KELLYE ZAPORSKI O.D. KATHRYN KORTH O.D. LAWRENCE SMITH O.D. DUSTIN CHERNEY O.D. SHOPKO OPTICAL SHOPKO EYE CARE SHOPKO EYE CARE FAMILY VISION CNTR OF 1120 ST RD 67 CENTER 4028 CENTER 4028 LACROSSE KIEL, WI 53042 800 E MAES ST 800 E MAES ST 3424 MORMON COULEE RD (920) 894-3604 KIMBERLY, WI 54136 KIMBERLY, WI 54136 STE A (920) 788-4114 (920) 788-4114 LA CROSSE, WI 54601 (608) 788-4300 LARRY ZWEBEN M.D. AURORA HEALTHCARE CARIN LACOUNT O.D. MICHAEL STEVENSON O.D. 1001 SERVICE RD SHOPKO EYE CARE SHOPKO EYE CARE THOMAS DAHLBY O.D. KIEL, WI 53042 CENTER 4028 CENTER 4028 SHOPKO EYE CARE (920) 894-1023 800 E MAES ST 800 E MAES ST CENTER 4007 KIMBERLY, WI 54136 KIMBERLY, WI 54136 4344 MORMON COULEE RD (920) 788-4114 (920) 788-4114 LA CROSSE, WI 54601 KIMBERLY (608) 788-8800

CATHERINE LOUGHRIN GARY TACKMAN O.D. BRIAN COOK O.D. O.D. SHOPKO EYE CARE HOLLY FISHER O.D. SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4028 OPTICAL FASHIONS LTD CENTER 4028 CENTER 4028 800 E MAES ST 2104 STATE RD 16 800 E MAES ST 800 E MAES ST KIMBERLY, WI 54136 LA CROSSE, WI 54601 KIMBERLY, WI 54136 KIMBERLY, WI 54136 (920) 788-4114 (608) 782-7127 (920) 788-4114 (920) 788-4114

KRISTIE THIEME O.D. RICHARD FOSS O.D. ERIN DAGGETT O.D. MICHELLE MUELLER O.D. SHOPKO EYE CARE FAMILY VISION CNTR OF SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4028 LACROSSE CENTER 4028 CENTER 4028 800 E MAES ST 3424 MORMON COULEE RD 800 E MAES ST 800 E MAES ST KIMBERLY, WI 54136 STE A KIMBERLY, WI 54136 KIMBERLY, WI 54136 (920) 788-4114 LA CROSSE, WI 54601 (920) 788-4114 (920) 788-4114 (608) 788-4300

RICHARD TOELLNER O.D. NATHAN FORST O.D. SHOPKO OPTICAL 4028 SHOPKO EYE CARE KENDRA GARBRECHT O.D. OPT. SHOPKO EYE CARE CENTER 4028 OPTICAL FASHIONS LTD CENTER 4028 SHOPKO EYE CARE 800 E MAES ST 2104 STATE RD 16 800 E MAES ST CENTER 4028 KIMBERLY, WI 54136 LA CROSSE, WI 54601 KIMBERLY, WI 54136 800 E MAES ST (920) 788-4114 (608) 782-7127 (920) 788-4114 KIMBERLY, WI 54136 (920) 788-4114 LA CROSSE COLLEEN KONKEL O.D. CRAIG KELLER O.D. AMY PEOT O.D. SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4007 CENTER 4028 SHOPKO EYE CARE MEGAN BARBOT-SMITH O.D. 4344 MORMON COULEE RD 800 E MAES ST CENTER 4028 LA CROSSE, WI 54601 KIMBERLY, WI 54136 800 E MAES ST SHOPKO EYE CARE CENTER 4007 (608) 788-8800 (920) 788-4114 KIMBERLY, WI 54136 (920) 788-4114 4344 MORMON COULEE RD LA CROSSE, WI 54601 (608) 788-8800 MATHEW MERGENTHALER KYLE KLIKA O.D. O.D. DAVID SLAGOWSKI O.D. SHOPKO EYE CARE OPTICAL FASHIONS LTD CENTER 4028 SHOPKO EYE CARE SCOTT BRUNEAU O.D. 2104 STATE RD 16 800 E MAES ST CENTER 4028 LA CROSSE, WI 54601 KIMBERLY, WI 54136 800 E MAES ST SHOPKO EYE CARE CENTER 4007 (608) 782-7127 (920) 788-4114 KIMBERLY, WI 54136 (920) 788-4114 4344 MORMON COULEE RD LA CROSSE, WI 54601 (608) 788-8800

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 29 of 79 LA CROSSE LAC DU FLAMBEAU LAKE GENEVA LITTLE CHUTE

SHOPKO OPTICAL 4007 JILL REDMAN O.D. JERILYN PRYBELL O.D. MATTHEW SCHULLER O.D. OPT. PETER CHRISTENSEN EYE CONTACT FOX VALLEY FAMILY EYE SHOPKO EYE CARE HEALTH CTR 253 CENTER ST CARE SC CENTER 4007 129 OLD ABE RD SUITE 400 607 WILSON ST 4344 MORMON COULEE RD LAC DU FLAMBEAU, WI LAKE GENEVA, WI 53147 LITTLE CHUTE, WI 54140 LA CROSSE, WI 54601 54538 (262) 248-9200 (920) 788-4162 (608) 788-8800 (715) 588-3371

BRITTANY RADKE O.D. LUCK ANDREW PALM O.D. LADYSMITH EYE CONTACT PEARLE VISION 253 CENTER ST 3800 HWY 16 DANIEL SATTERLUND O.D. ERIK OSTENSO O.D. SUITE 400 STE 112 FAMILY EYE CLINIC ERIK A OSTENSO O.D. LAKE GENEVA, WI 53147 LA CROSSE, WI 54601 304 1ST ST SO 119 MINER AVE W (262) 248-9200 (608) 781-2020 LUCK, WI 54853 LADYSMITH, WI 54848 (715) 472-2121 (715) 532-3006 MARK SPANKOWSKI O.D. JESSICA PULS O.D. FAMILY EYE CARE OF FAMILY VISION CNTR OF MADISON LAKE GENEVA LAKE GENEVA LACROSSE 415 BROAD ST 3424 MORMON COULEE RD UNIT 1 BRIAN ADLER O.D. STE A INGER GIBSON O.D. LAKE GENEVA, WI 53147 SHOPKO EYE CARE LA CROSSE, WI 54601 ADV EYECARE & CONTACT (262) 248-4878 CENTER 4029 (608) 788-4300 LENS CTR 7401 MINERAL POINT RD 154 E GENEVA SQUARE MADISON, WI 53717 LAKE GENEVA, WI 53147 JAMI SWENSON O.D. (608) 833-5700 BRENDA WEDIG O.D. (262) 249-1000 EYE CONTACT OPTICAL FASHIONS LTD 253 CENTER ST 2104 STATE RD 16 SUITE 400 BRIAN ADLER O.D. LA CROSSE, WI 54601 SHANNON GLEASON O.D. LAKE GENEVA, WI 53147 SHOPKO EYE CARE (608) 782-7127 FAMILY EYE CARE OF (262) 248-9200 CENTER 4032 LAKE GENEVA 2101 W BROADWAY 415 BROAD ST MADISON, WI 53713 ANN WONDERLING O.D. UNIT 1 LAKE MILLS (608) 222-9420 FAMILY VISION CNTR OF LAKE GENEVA, WI 53147 LACROSSE (262) 248-4878 3424 MORMON COULEE RD LINDA FOLEY O.D. BRIAN ADLER O.D. STE A LAKE MILLS FAMILY EYE SHOPKO EYE CARE LA CROSSE, WI 54601 JESSICA HEINKE O.D. CARE CENTER 4080 (608) 788-4300 FAMILY EYE CARE OF 117 W LAKE ST 2201 ZEIER RD LAKE GENEVA LAKE MILLS, WI 53551 MADISON, WI 53704 415 BROAD ST (920) 648-2011 (608) 246-2161 LAC DU FLAMBEAU UNIT 1 LAKE GENEVA, WI 53147 (262) 248-4878 JESSAMYN KOVACS O.D. NICOLE AMIDON O.D. SHANE BRAHM O.D. LAKE MILLS FAMILY EYE WISCONSIN VISION INC PETER CHRISTENSEN CARE 2612 E WASHINGTON AVE HEALTH CTR 117 W LAKE ST DAVID NELSON O.D. MADISON, WI 53704 129 OLD ABE RD LAKE MILLS, WI 53551 EYE CONTACT (608) 249-5100 LAC DU FLAMBEAU, WI (920) 648-2011 54538 253 CENTER ST (715) 588-3371 SUITE 400 LAKE GENEVA, WI 53147 NICOLE AMIDON O.D. (262) 248-9200 WISCONSIN VISION INC 5505 ODANA RD MADISON, WI 53719 (608) 277-9393

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 30 of 79 MADISON MADISON MADISON MADISON

BRET AMMERAAL O.D. KATHERINE BEERNTSEN JEFFREY CHRISTIANSON MARK COOK O.D. SHOPKO EYE CARE O.D. O.D. STANTON OPTICAL CENTER 4029 LENSCRAFTERS WISCONSIN VISION INC 434 GAMMON PL 7401 MINERAL POINT RD 29 5505 ODANA RD MADISON, WI 53719 MADISON, WI 53717 MADISON, WI 53704 MADISON, WI 53719 (608) 824-9100 (608) 833-5700 (608) 246-0308 (608) 277-9393

CONSTANCE COPELAND BRET AMMERAAL O.D. DONNA BELANGER O.D. JEFFREY CHRISTIANSON O.D. SHOPKO EYE CARE WISCONSIN VISION INC O.D. SEE INC CENTER 4032 2612 E WASHINGTON AVE WISCONSIN VISION INC 437 STATE ST 2101 W BROADWAY MADISON, WI 53704 2612 E WASHINGTON AVE MADISON, WI 53703 MADISON, WI 53713 (608) 249-5100 MADISON, WI 53704 (608) 287-3100 (608) 222-9420 (608) 249-5100

DONNA BELANGER O.D. LISA CUDA MCCARRON BRET AMMERAAL O.D. WISCONSIN VISION INC JEFFREY CLEMENTS O.D. OPT. SHOPKO EYE CARE 5505 ODANA RD STANTON OPTICAL BILANCIA EYEWEAR CENTER 4080 MADISON, WI 53719 434 GAMMON PL 5500 E CHERYL PKWY 2201 ZEIER RD (608) 277-9393 MADISON, WI 53719 STE 103 MADISON, WI 53704 (608) 824-9100 MADISON, WI 53711 (608) 246-2161 (608) 273-3937 AMERICAS BEST OPT. AMERICAS BEST CHRISTOPHER COFFINI O.D. PETER ANDREAKOS O.D. 4237 LIEN RD PAUL DALECKY O.D. EYEOPIA STE E STANTON OPTICAL WISCONSIN VISION INC 434 GAMMON PL 2134 ATWOOD AVE MADISON, WI 53704 5505 ODANA RD MADISON, WI 53719 MADISON, WI 53704 (608) 819-0642 MADISON, WI 53719 (608) 316-7999 (608) 824-9100 (608) 277-9393

JAMIE BLAVAT O.D. CHRISTOPHER COFFINI PETER ANDREAKOS O.D. LENSCRAFTERS PAUL DALECKY O.D. O.D. EYEOPIA 29 EAST TOWNE MALL WISCONSIN VISION INC STANTON OPTICAL 1719 MONROE ST MADISON, WI 53704 2612 E WASHINGTON AVE 4302 E WASHINGTON AVE MADISON, WI 53711 (608) 246-0308 MADISON, WI 53704 MADISON, WI 53704 (608) 757-2020 (608) 249-5100 (608) 241-1600

NORMAN BRANDON O.D. PETER ANDREAKOS O.D. BRANDON EYES INC CYNTHIA DECKER-RIDDLE COLIN CONNORS O.D. O.D. TARGET OPTICAL 6614 MINERAL POINT RD ISTHMUS EYE CARE SC WISCONSIN VISION INC 6321 MCKEE RD MADISON, WI 53705 6012 GEMINI DR 2612 E WASHINGTON AVE MADISON, WI 53719 (608) 833-0301 (608) 274-6747 MADISON, WI 53718 MADISON, WI 53704 (608) 249-5548 (608) 249-5100 ADAM BURNS O.D. JOHN BANKOWSKI O.D. ISTHMUS EYE CARE SC VICTOR CONNORS O.D. CYNTHIA DECKER-RIDDLE AMERICAS BEST 6012 GEMINI DR ISTHMUS EYE CARE SC O.D. 4237 LIEN RD MADISON, WI 53718 6012 GEMINI DR WISCONSIN VISION INC STE E (608) 249-5548 MADISON, WI 53704 MADISON, WI 53718 5505 ODANA RD (608) 819-0642 (608) 249-5548 MADISON, WI 53719 (608) 277-9393 ADAM BURNS O.D. TARGET OPTICAL MARK COOK O.D. 201 JUNCTION RD STANTON OPTICAL MADISON, WI 53717 4302 E WASHINGTON AVE (608) 827-0088 MADISON, WI 53704 (608) 241-1600

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 31 of 79 MADISON MADISON MADISON MADISON

KESHA DESAI O.D. DAVID EMMERICH O.D. LANCE ENGDAHL O.D. ALICJA FITZGERALD O.D. EYE CONTACT LENSCRAFTERS SEE INC SHOPKO EYE CARE 4228 EAST TOWNE BLVD 113 437 STATE ST CENTER 4032 MADISON, WI 53704 C59 MADISON, WI 53703 2101 W BROADWAY (608) 241-3737 MADISON, WI 53719 (608) 287-3100 MADISON, WI 53713 (608) 829-2040 (608) 222-9420

KESHA DESAI O.D. LANCE ENGDAHL O.D. EYE CONTACT DAVID EMMERICH O.D. TARGET OPTICAL TREVOR FOSSO O.D. 7428 MINERAL PT RD OLSON EYE CARE LLC 6321 MCKEE RD LENSCRAFTERS MADISON, WI 53717 503 COMMERCE DR MADISON, WI 53719 29 EAST TOWNE MALL (608) 833-3937 MADISON, WI 53719 (608) 274-6747 MADISON, WI 53704 (608) 829-3937 (608) 246-0308

BOKAYE DIETMEIER O.D. CALLIE ENYART O.D. LENSCRAFTERS DAVID EMMERICH O.D. DRS JAMES & ENYART DEANNE FUNKHOUSER 113 WEST TOWNE MALL TARGET OPTICAL 700 RIVER PLACE O.D. C59 201 JUNCTION RD MADISON, WI 53716 OLSON EYE CARE LLC MADISON, WI 53719 MADISON, WI 53717 (608) 223-0202 503 COMMERCE DR (608) 829-2040 (608) 827-0088 MADISON, WI 53719 (608) 829-3937 KRISTINE EVANS O.D. MEGAN DRAPER O.D. LYNDA ENEMUOH O.D. WISCONSIN VISION INC JONATHAN GARCIA SHOPKO EYE CARE SEARS OPTICAL 5505 ODANA RD JULIAN O.D. CENTER 4029 53 W TOWNE MALL MADISON, WI 53719 AMERICAS BEST 7401 MINERAL POINT RD MADISON, WI 53719 (608) 277-9393 4237 LIEN RD MADISON, WI 53717 (608) 829-3041 STE E (608) 833-5700 MADISON, WI 53704 KRISTINE EVANS O.D. (608) 819-0642 LYNDA ENEMUOH O.D. WISCONSIN VISION INC MEGAN DRAPER O.D. SEE INC 2612 E WASHINGTON AVE SHOPKO EYE CARE 437 STATE ST MADISON, WI 53704 LAURA GENGELBACH O.D. CENTER 4032 MADISON, WI 53703 (608) 249-5100 LENSCRAFTERS 2101 W BROADWAY (608) 287-3100 MADISON, WI 53713 113 WEST TOWNE MALL C59 (608) 222-9420 VINCENT FACCHIANO O.D. MADISON, WI 53719 LYNDA ENEMUOH O.D. PEARLE VISION (608) 829-2040 WISCONSIN VISION INC 6231 MCKEE RD MEGAN DRAPER O.D. 2612 E WASHINGTON AVE STE C SHOPKO EYE CARE MADISON, WI 53704 MADISON, WI 53719 CENTER 4080 LAURA GENGELBACH O.D. (608) 249-5100 (608) 273-2020 2201 ZEIER RD LENSCRAFTERS MADISON, WI 53704 29 EAST TOWNE MALL (608) 246-2161 MADISON, WI 53704 LYNDA ENEMUOH O.D. PETER FALK O.D. (608) 246-0308 WISCONSIN VISION INC STANTON OPTICAL 5505 ODANA RD 434 GAMMON PL THOMAS ELSON O.D. MADISON, WI 53719 MADISON, WI 53719 WISCONSIN VISION INC JILL GERMAIN O.D. (608) 277-9393 (608) 824-9100 5505 ODANA RD SHOPKO EYE CARE MADISON, WI 53719 CENTER 4029 (608) 277-9393 7401 MINERAL POINT RD LANCE ENGDAHL O.D. DANIEL FEULING O.D. MADISON, WI 53717 LENSCRAFTERS LENSCRAFTERS (608) 833-5700 29 EAST TOWNE MALL 29 EAST TOWNE MALL MADISON, WI 53704 MADISON, WI 53704 (608) 246-0308 (608) 246-0308

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 32 of 79 MADISON MADISON MADISON MADISON

JILL GERMAIN O.D. GREGORY HUBERTUS O.D. RICHARD JUN O.D. JESSAMYN KOVACS O.D. SHOPKO EYE CARE WISCONSIN VISION INC LENSCRAFTERS SHOPKO EYE CARE CENTER 4032 5505 ODANA RD 29 EAST TOWNE MALL CENTER 4080 2101 W BROADWAY MADISON, WI 53719 MADISON, WI 53704 2201 ZEIER RD MADISON, WI 53713 (608) 277-9393 (608) 246-0308 MADISON, WI 53704 (608) 222-9420 (608) 246-2161

SEE INC OPT. AJA KIMREY O.D. KRISTOPHER GLANVILLE SEE INC ISTHMUS EYE CARE SC JESSAMYN KOVACS O.D. O.D. 437 STATE ST 6012 GEMINI DR TARGET OPTICAL LENSCRAFTERS MADISON, WI 53703 MADISON, WI 53718 6321 MCKEE RD 29 EAST TOWNE MALL (608) 287-3100 (608) 249-5548 MADISON, WI 53719 MADISON, WI 53704 (608) 274-6747 (608) 246-0308 PENNY IVERSON- MARK KONYN O.D. AMMERAAL O.D. AMERICAS BEST LENSCRAFTERS #232 OPT. JEREMY GOETSCH O.D. SHOPKO EYE CARE 4237 LIEN RD LENSCRAFTERS PEARLE VISION CENTER 4029 STE E 113 WEST TOWNE MALL 6231 MCKEE RD 7401 MINERAL POINT RD MADISON, WI 53704 C59 STE C MADISON, WI 53717 (608) 819-0642 MADISON, WI 53719 MADISON, WI 53719 (608) 833-5700 (608) 829-2040 (608) 273-2020 NANCY KOTTRABA O.D. PENNY IVERSON- MADISON OPTOMETRIC LENSCRAFTERS #296 OPT. AMMERAAL O.D. JEREMY GOETSCH O.D. CENTER LENSCRAFTERS SEARS OPTICAL SHOPKO EYE CARE 512 STATE ST 29 EAST TOWNE MALL CENTER 4032 43 EAST TOWNE MALL MADISON, WI 53703 MADISON, WI 53704 2101 W BROADWAY MADISON, WI 53704 (608) 334-6070 (608) 246-0308 (608) 242-2413 MADISON, WI 53713 (608) 222-9420 JESSAMYN KOVACS O.D. ROBERT MATHAUS O.D. JEREMY GOETSCH O.D. OLSON EYE CARE LLC WISCONSIN VISION INC PENNY IVERSON- TARGET OPTICAL AMMERAAL O.D. 503 COMMERCE DR 2612 E WASHINGTON AVE 4301 LIEN RD SHOPKO EYE CARE MADISON, WI 53719 MADISON, WI 53704 MADISON, WI 53704 CENTER 4080 (608) 829-3937 (608) 249-5100 (608) 327-5382 2201 ZEIER RD MADISON, WI 53704 (608) 246-2161 JESSAMYN KOVACS O.D. ROBERT MATHAUS O.D. BRADY HAFERMAN O.D. SHOPKO EYE CARE WISCONSIN VISION INC TARGET OPTICAL CENTER 4029 5505 ODANA RD 201 JUNCTION RD DAVID JAMES O.D. 7401 MINERAL POINT RD MADISON, WI 53719 MADISON, WI 53717 DRS JAMES & ENYART MADISON, WI 53717 (608) 277-9393 (608) 827-0088 700 RIVER PLACE (608) 833-5700 MADISON, WI 53716 (608) 223-0202 TONY MATUSZAK O.D. JAYSON HEIER O.D. JESSAMYN KOVACS O.D. AMERICAS BEST LENSCRAFTERS SHOPKO EYE CARE 4237 LIEN RD CENTER 4032 29 EAST TOWNE MALL RICHARD JUN O.D. STE E 2101 W BROADWAY MADISON, WI 53704 ISTHMUS EYE CARE SC MADISON, WI 53704 MADISON, WI 53713 (608) 246-0308 6012 GEMINI DR (608) 819-0642 (608) 222-9420 MADISON, WI 53718 (608) 249-5548 GREGORY HUBERTUS O.D. CALLIE MAURSETTER O.D. WISCONSIN VISION INC ISTHMUS EYE CARE SC 2612 E WASHINGTON AVE 6012 GEMINI DR MADISON, WI 53704 MADISON, WI 53718 (608) 249-5100 (608) 249-5548

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 33 of 79 MADISON MADISON MADISON MADISON

STEPHANIE MCCAIG O.D. KRISTIN MOSEMAN O.D. JCPENNEY OPTICAL OPT. SHOPKO OPTICAL 4032 LENSCRAFTERS SHOPKO EYE CARE JCPENNEY OPTICAL OPT. 113 WEST TOWNE MALL CENTER 4080 135 E TOWNE MALL SHOPKO EYE CARE C59 2201 ZEIER RD MADISON, WI 53704 CENTER 4032 MADISON, WI 53719 MADISON, WI 53704 (608) 241-1374 2101 W BROADWAY (608) 829-2040 (608) 246-2161 MADISON, WI 53713 (608) 222-9420 SEARS OPTICAL OPT. STEPHANIE MCCAIG O.D. THOMAS MUNNS O.D. SEARS OPTICAL SHOPKO OPTICAL 4080 LENSCRAFTERS MADISON OPTOMETRIC 43 EAST TOWNE MALL OPT. 29 EAST TOWNE MALL CENTER MADISON, WI 53704 512 STATE ST SHOPKO EYE CARE MADISON, WI 53704 (608) 242-2413 CENTER 4080 MADISON, WI 53703 (608) 246-0308 2201 ZEIER RD (608) 334-6070 MADISON, WI 53704 SEARS OPTICAL OPT. (608) 246-2161 MAX MELBERG O.D. SEARS OPTICAL DRS JAMES & ENYART DAVID NELSON O.D. 53 W TOWNE MALL BILANCIA EYEWEAR 700 RIVER PLACE MADISON, WI 53719 STANTON OPTICAL 5500 E CHERYL PKWY MADISON, WI 53716 (608) 829-3041 MADISON OPT. STE 103 (608) 223-0202 STANTON OPTICAL MADISON, WI 53711 4302 E WASHINGTON AVE (608) 273-3937 TARGET OPTICAL OPT. MADISON, WI 53704 MICHAEL TARGET OPTICAL (608) 241-1600 MORGENTHALER O.D. 201 JUNCTION RD MADISON OPTOMETRIC DAVID NELSON O.D. MADISON, WI 53717 CENTER EYE CONTACT (608) 827-0088 STANTON OPTICAL 512 STATE ST 4228 EAST TOWNE BLVD MADISON II OPT. MADISON, WI 53703 MADISON, WI 53704 STANTON OPTICAL (608) 334-6070 (608) 241-3737 TARGET OPTICAL OPT. 434 GAMMON PL TARGET OPTICAL MADISON, WI 53719 750 HILLDALE WAY (608) 824-9100 MICHAEL DAVID NELSON O.D. MADISON, WI 53705 MORGENTHALER O.D. EYE CONTACT (608) 298-6001 TARGET OPTICAL 7428 MINERAL PT RD OSCAR ORTIZ O.D. 6321 MCKEE RD MADISON, WI 53717 AMERICAS BEST MADISON, WI 53719 (608) 833-3937 TARGET OPTICAL OPT. 4237 LIEN RD (608) 274-6747 TARGET OPTICAL STE E 6321 MCKEE RD MADISON, WI 53704 RICHARD OLSON O.D. MADISON, WI 53719 (608) 819-0642 KRISTIN MOSEMAN O.D. OLSON EYE CARE LLC (608) 274-6747 SHOPKO EYE CARE 503 COMMERCE DR CENTER 4029 MADISON, WI 53719 DEMARIO PICKENS OPT. 7401 MINERAL POINT RD (608) 829-3937 TARGET OPTICAL OPT. MADISON, WI 53717 OAKLEY WEST TOWNE TARGET OPTICAL MALL (608) 833-5700 4301 LIEN RD 66 WEST TOWNE MALL ANGELA OLSON O.D. MADISON, WI 53704 A 09A OLSON EYE CARE LLC MADISON, WI 53719 KRISTIN MOSEMAN O.D. (608) 327-5382 503 COMMERCE DR (608) 836-4606 SHOPKO EYE CARE MADISON, WI 53719 CENTER 4032 (608) 829-3937 2101 W BROADWAY SHOPKO OPTICAL 4029 OPT. BRITTANY RADKE O.D. MADISON, WI 53713 SHOPKO EYE CARE (608) 222-9420 EYE CONTACT JCPENNEY OPTICAL OPT. CENTER 4029 7428 MINERAL PT RD JCPENNEY OPTICAL 7401 MINERAL POINT RD MADISON, WI 53717 23 W TOWNE MALL MADISON, WI 53717 (608) 833-3937 MADISON, WI 53719 (608) 833-5700 (608) 827-3002

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 34 of 79 MADISON MADISON MADISON MADISON

BRITTANY RADKE O.D. KARL SCHWANDT O.D. TESSA SOKOL O.D. KEN THUE O.D. EYE CONTACT AMERICAS BEST LENSCRAFTERS SHOPKO EYE CARE 4228 EAST TOWNE BLVD 4237 LIEN RD 113 WEST TOWNE MALL CENTER 4080 MADISON, WI 53704 STE E C59 2201 ZEIER RD (608) 241-3737 MADISON, WI 53704 MADISON, WI 53719 MADISON, WI 53704 (608) 819-0642 (608) 829-2040 (608) 246-2161

BRITTANY RADKE O.D. TARGET OPTICAL DANIELLE SEDDIO O.D. THOMAS STEINHAUER O.D. VALERIE VANDEN BOOM O.D. 6321 MCKEE RD BRANDON EYES INC THOMAS R STEINHAUER MADISON, WI 53719 6614 MINERAL POINT RD OD EYE CONTACT (608) 274-6747 MADISON, WI 53705 2639 UNIVERSITY AVE 7428 MINERAL PT RD (608) 833-0301 MADISON, WI 53705 MADISON, WI 53717 (608) 255-6407 (608) 833-3937 JULIA RUNKEL O.D. ABSOLUTE EYECARE INC ELISA SKADAHL-KURT O.D. VALERIE VANDEN BOOM 2101 ROYAL AVE LENSCRAFTERS BRIAN STEINHAUER O.D. O.D. MADISON, WI 53713 29 EAST TOWNE MALL THOMAS R STEINHAUER EYE CONTACT (608) 226-8656 MADISON, WI 53704 OD 4228 EAST TOWNE BLVD (608) 246-0308 2639 UNIVERSITY AVE MADISON, WI 53705 MADISON, WI 53704 (608) 241-3737 JULIA RUNKEL O.D. (608) 255-6407 LENSCRAFTERS ELISA SKADAHL-KURT O.D. 29 EAST TOWNE MALL TARGET OPTICAL DAVID VANDERLOOP O.D. MADISON, WI 53704 6321 MCKEE RD ANDREW STEINHAUER O.D. LENSCRAFTERS (608) 246-0308 MADISON, WI 53719 THOMAS R STEINHAUER 29 EAST TOWNE MALL (608) 274-6747 OD MADISON, WI 53704 2639 UNIVERSITY AVE (608) 246-0308 YOSEPH SARRAFZADEH MADISON, WI 53705 O.D. CHAD SLAGLE O.D. (608) 255-6407 WISCONSIN VISION INC SHOPKO EYE CARE THOMAS WAELTZ O.D. 5505 ODANA RD CENTER 4029 MADISON, WI 53719 7401 MINERAL POINT RD LENSCRAFTERS SANDRINE TAGNI KOUNGA (608) 277-9393 MADISON, WI 53717 29 EAST TOWNE MALL O.D. MADISON, WI 53704 (608) 833-5700 AMERICAS BEST (608) 246-0308 4237 LIEN RD YOSEPH SARRAFZADEH STE E O.D. CHAD SLAGLE O.D. MADISON, WI 53704 THOMAS WAELTZ O.D. WISCONSIN VISION INC SHOPKO EYE CARE (608) 819-0642 2612 E WASHINGTON AVE CENTER 4032 STANTON OPTICAL MADISON, WI 53704 2101 W BROADWAY 4302 E WASHINGTON AVE (608) 249-5100 MADISON, WI 53713 MADISON, WI 53704 KEN THUE O.D. (608) 222-9420 (608) 241-1600 SHOPKO EYE CARE CENTER 4029 BRIAN SCHROEDL O.D. 7401 MINERAL POINT RD SHOPKO EYE CARE CHAD SLAGLE O.D. THOMAS WAELTZ O.D. MADISON, WI 53717 CENTER 4032 SHOPKO EYE CARE STANTON OPTICAL (608) 833-5700 2101 W BROADWAY CENTER 4080 434 GAMMON PL MADISON, WI 53713 2201 ZEIER RD MADISON, WI 53719 (608) 222-9420 MADISON, WI 53704 (608) 824-9100 KEN THUE O.D. (608) 246-2161 SHOPKO EYE CARE CENTER 4032 CHRISTINE WARD O.D. 2101 W BROADWAY SHOPKO EYE CARE MADISON, WI 53713 CENTER 4029 (608) 222-9420 7401 MINERAL POINT RD MADISON, WI 53717 (608) 833-5700

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 35 of 79 MADISON MADISON MADISON MANITOWOC

CHRISTINE WARD O.D. OAKLEY WEST TOWNE JINGPING XU O.D. NATHAN FORST O.D. SHOPKO EYE CARE MALL 199 OPT. AMERICAS BEST SHOPKO EYE CARE CENTER 4032 OAKLEY WEST TOWNE 4237 LIEN RD CENTER 4003 2101 W BROADWAY MALL STE E 3415 CALUMET AVE MADISON, WI 53713 66 WEST TOWNE MALL MADISON, WI 53704 MANITOWOC, WI 54220 (608) 222-9420 A 09A (608) 819-0642 (920) 683-2244 MADISON, WI 53719 (608) 836-4606 CHRISTINE WARD O.D. JINGPING XU O.D. CRAIG KELLER O.D. SHOPKO EYE CARE TARGET OPTICAL SHOPKO EYE CARE CENTER 4080 EMMYLOU WILSON O.D. 750 HILLDALE WAY CENTER 4003 2201 ZEIER RD ABSOLUTE EYECARE INC MADISON, WI 53705 3415 CALUMET AVE MADISON, WI 53704 2101 ROYAL AVE (608) 298-6001 MANITOWOC, WI 54220 (608) 246-2161 MADISON, WI 53713 (920) 683-2244 (608) 226-8656 MANITOWOC BRIAN WEAVER O.D. KYLE KLIKA O.D. STANTON OPTICAL TIMOTHY WILSON O.D. SHOPKO EYE CARE 4302 E WASHINGTON AVE ABSOLUTE EYECARE INC BRIAN ADLER O.D. CENTER 4003 MADISON, WI 53704 2101 ROYAL AVE SHOPKO EYE CARE 3415 CALUMET AVE (608) 241-1600 MADISON, WI 53713 CENTER 4003 MANITOWOC, WI 54220 (608) 226-8656 3415 CALUMET AVE (920) 683-2244 MANITOWOC, WI 54220 HERBERT WEBB O.D. (920) 683-2244 SEE INC TIMOTHY WILSON O.D. MICHELLE MUELLER O.D. 437 STATE ST ISTHMUS EYE CARE SC SHOPKO EYE CARE MADISON, WI 53703 6012 GEMINI DR BRIAN COOK O.D. CENTER 4003 (608) 287-3100 MADISON, WI 53718 SHOPKO EYE CARE 3415 CALUMET AVE CENTER 4003 (608) 249-5548 MANITOWOC, WI 54220 3415 CALUMET AVE (920) 683-2244 HERBERT WEBB O.D. MANITOWOC, WI 54220 STANTON OPTICAL JOSEPH WILSON O.D. (920) 683-2244 4302 E WASHINGTON AVE WISCONSIN VISION INC SHOPKO OPTICAL 4003 OPT. MADISON, WI 53704 2612 E WASHINGTON AVE ERIN DAGGETT O.D. SHOPKO EYE CARE (608) 241-1600 MADISON, WI 53704 SHOPKO EYE CARE CENTER 4003 (608) 249-5100 CENTER 4003 3415 CALUMET AVE 3415 CALUMET AVE MANITOWOC, WI 54220 HERBERT WEBB O.D. MANITOWOC, WI 54220 (920) 683-2244 STANTON OPTICAL JOSEPH WILSON O.D. (920) 683-2244 434 GAMMON PL WISCONSIN VISION INC MADISON, WI 53719 5505 ODANA RD JAMES SCHMONSKY O.D. (608) 824-9100 MADISON, WI 53719 STEVEN EGGERT O.D. SHOPKO EYE CARE (608) 277-9393 THE EYECARE PLACE LLC CENTER 4003 3651 DEWEY ST 3415 CALUMET AVE HERBERT WEBB O.D. UNIT B MANITOWOC, WI 54220 TARGET OPTICAL SARA WINKLER O.D. MANITOWOC, WI 54220 (920) 683-2244 6321 MCKEE RD WISCONSIN VISION INC (920) 686-1000 MADISON, WI 53719 5505 ODANA RD (608) 274-6747 MADISON, WI 53719 DAVID SLAGOWSKI O.D. (608) 277-9393 CATHERINE EGGERT O.D. SHOPKO EYE CARE CENTER 4003 THE EYECARE PLACE LLC 3415 CALUMET AVE 3651 DEWEY ST SARA WINKLER O.D. MANITOWOC, WI 54220 UNIT B WISCONSIN VISION INC (920) 683-2244 MANITOWOC, WI 54220 2612 E WASHINGTON AVE (920) 686-1000 MADISON, WI 53704 (608) 249-5100

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 36 of 79 MANITOWOC MARATHON MARINETTE MARSHFIELD

ROBERT SMITH O.D. RAYMOND GOGA O.D. MICHELLE MUELLER O.D. MARC FREDERIKSEN O.D. SHOPKO EYE CARE RAYMOND M GOGA OD SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4003 703 THIRD ST CENTER 4102 CENTER 4009 3415 CALUMET AVE MARATHON, WI 54448 2741 ROOSEVELT RD 1306 N CENTRAL AVE MANITOWOC, WI 54220 (715) 443-2248 MARINETTE, WI 54143 MARSHFIELD, WI 54449 (920) 683-2244 (715) 735-0261 (715) 387-8608

MARINETTE KRISTIE THIEME O.D. STEVEN NOTTLESON O.D. COLLEEN HENNELLY O.D. SHOPKO EYE CARE STEVEN L NOTTLESON OD SHOPKO EYE CARE CENTER 4003 MICHAEL BANWART O.D. 1545 MAIN ST CENTER 4009 3415 CALUMET AVE SHOPKO EYE CARE MARINETTE, WI 54143 1306 N CENTRAL AVE CENTER 4102 MANITOWOC, WI 54220 (715) 735-3012 MARSHFIELD, WI 54449 (920) 683-2244 2741 ROOSEVELT RD (715) 387-8608 MARINETTE, WI 54143 (715) 735-0261 SHOPKO OPTICAL 4102 RICHARD TOELLNER O.D. OPT. PENNY IVERSON- SHOPKO EYE CARE SHOPKO EYE CARE AMMERAAL O.D. CENTER 4003 BRIAN COOK O.D. CENTER 4102 SHOPKO EYE CARE 3415 CALUMET AVE SHOPKO EYE CARE 2741 ROOSEVELT RD CENTER 4009 MANITOWOC, WI 54220 CENTER 4102 MARINETTE, WI 54143 1306 N CENTRAL AVE (920) 683-2244 2741 ROOSEVELT RD (715) 735-0261 MARSHFIELD, WI 54449 MARINETTE, WI 54143 (715) 387-8608 (715) 735-0261 ASHLEY TORREANO O.D. GARY TACKMAN O.D. THE EYECARE PLACE LLC SHOPKO EYE CARE KENNETH MARTELL O.D. 3651 DEWEY ST ERIN DAGGETT O.D. CENTER 4102 SHOPKO EYE CARE UNIT B SHOPKO EYE CARE 2741 ROOSEVELT RD CENTER 4009 CENTER 4102 MANITOWOC, WI 54220 MARINETTE, WI 54143 1306 N CENTRAL AVE 2741 ROOSEVELT RD (920) 686-1000 (715) 735-0261 MARSHFIELD, WI 54449 MARINETTE, WI 54143 (715) 387-8608 (715) 735-0261 KEVIN VOSS O.D. MARSHFIELD THE EYECARE PLACE LLC CHARLES MILLER O.D. NATHAN FORST O.D. 3651 DEWEY ST EYECARE CENTER OF SHOPKO EYE CARE KATIE BLUHM O.D. MARSHFIELD UNIT B CENTER 4102 JOEYS OPTICAL LLC 605 E 4TH ST MANITOWOC, WI 54220 2741 ROOSEVELT RD 1645 N CENTRAL AVE MARSHFIELD, WI 54449 (920) 686-1000 MARINETTE, WI 54143 MARSHFIELD, WI 54449 (715) 387-6397 (715) 735-0261 (715) 502-3464

NICOLE WENMAN O.D. SHOPKO OPTICAL 4009 THE EYECARE PLACE LLC PENNY IVERSON- JOLANDA BURNETT OPT. OPT. 3651 DEWEY ST AMMERAAL O.D. JOEYS OPTICAL LLC SHOPKO EYE CARE UNIT B SHOPKO EYE CARE 1645 N CENTRAL AVE CENTER 4009 MANITOWOC, WI 54220 CENTER 4102 MARSHFIELD, WI 54449 1306 N CENTRAL AVE (920) 686-1000 2741 ROOSEVELT RD (715) 502-3464 MARSHFIELD, WI 54449 MARINETTE, WI 54143 (715) 387-8608 (715) 735-0261 MARATHON ERIN DAGGETT O.D. SHOPKO EYE CARE ELIZABETH SANDERS O.D. CRAIG KELLER O.D. EYECARE CENTER OF ERIN GOGA O.D. CENTER 4009 SHOPKO EYE CARE 1306 N CENTRAL AVE MARSHFIELD RAYMOND M GOGA OD CENTER 4102 605 E 4TH ST 703 THIRD ST MARSHFIELD, WI 54449 2741 ROOSEVELT RD (715) 387-8608 MARSHFIELD, WI 54449 MARATHON, WI 54448 MARINETTE, WI 54143 (715) 387-6397 (715) 443-2248 (715) 735-0261

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 37 of 79 MARSHFIELD MEDFORD MEDFORD MEDFORD

LAWRENCE SMITH O.D. BRIDGETTE DIXON OPT. ANNE KIEFER OPT. DANIEL STOEHR O.D. SHOPKO EYE CARE EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN CENTER 4009 SC SC SC 1306 N CENTRAL AVE 101 S GIBSON ST 101 S GIBSON ST 101 S GIBSON ST MARSHFIELD, WI 54449 STE 16 STE 16 STE 16 (715) 387-8608 MEDFORD, WI 54451 MEDFORD, WI 54451 MEDFORD, WI 54451 (715) 748-5775 (715) 748-5775 (715) 748-5775

RON TAUB O.D. SHOPKO EYE CARE COLLEEN DORAN OPT. CARMEN LANG OPT. MENASHA CENTER 4009 EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 1306 N CENTRAL AVE SC SC MARSHFIELD, WI 54449 101 S GIBSON ST 101 S GIBSON ST CHARLES BURGESS O.D. (715) 387-8608 STE 16 STE 16 COMMUNITY EYECARE INC MEDFORD, WI 54451 MEDFORD, WI 54451 1255 APPLETON RD (715) 748-5775 (715) 748-5775 MENASHA, WI 54952 MARGARET WOLAN O.D. (920) 722-6872 SHOPKO EYE CARE CENTER 4009 KAREN HAMERLY OPT. PATRICIA LECLAIR OPT. 1306 N CENTRAL AVE EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN ERIN DAGGETT O.D. MARSHFIELD, WI 54449 SC SC SHOPKO EYE CARE (715) 387-8608 101 S GIBSON ST 101 S GIBSON ST CENTER 4033 STE 16 STE 16 1640 APPLETON RD MEDFORD, WI 54451 MEDFORD, WI 54451 MENASHA, WI 54952 MAYVILLE (715) 748-5775 (715) 748-5775 (920) 725-3752

CASSANDRE HETZER O.D. VICKI HARWOOD OPT. KATIE MICHALSKI O.D. NATHAN FORST O.D. MAYVILLE VISION CENTER EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN SHOPKO EYE CARE 935 HORICON ST SC SC CENTER 4033 MAYVILLE, WI 53050 101 S GIBSON ST 101 S GIBSON ST 1640 APPLETON RD (920) 387-3180 STE 16 STE 16 MENASHA, WI 54952 MEDFORD, WI 54451 MEDFORD, WI 54451 (920) 725-3752 (715) 748-5775 (715) 748-5775 MEDFORD MICAH JUEDES O.D. GINA HECK O.D. LYNDA NOGER OPT. COMMUNITY EYECARE INC JENNIFER AARRESTAD 1255 APPLETON RD OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN SC SC MENASHA, WI 54952 EYE CLINIC OF WISCONSIN SC 101 S GIBSON ST 101 S GIBSON ST (920) 722-6872 101 S GIBSON ST STE 16 STE 16 STE 16 MEDFORD, WI 54451 MEDFORD, WI 54451 CRAIG KELLER O.D. MEDFORD, WI 54451 (715) 748-5775 (715) 748-5775 (715) 748-5775 SHOPKO EYE CARE CENTER 4033 MATTHEW JOHNSON O.D. RICKY SCALCUCCI O.D. 1640 APPLETON RD MENASHA, WI 54952 TRACY CHARTIER OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN SC SC (920) 725-3752 EYE CLINIC OF WISCONSIN SC 101 S GIBSON ST 101 S GIBSON ST 101 S GIBSON ST STE 16 STE 16 KYLE KLIKA O.D. STE 16 MEDFORD, WI 54451 MEDFORD, WI 54451 MEDFORD, WI 54451 (715) 748-5775 (715) 748-5775 SHOPKO EYE CARE CENTER 4033 (715) 748-5775 1640 APPLETON RD MENASHA, WI 54952 (920) 725-3752

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 38 of 79 MENASHA MENASHA MENOMONEE MENOMONEE FALLS FALLS

CARIN LACOUNT O.D. LAWRENCE SMITH O.D. ZHALEH BARARI O.D. PAUL DALECKY O.D. SHOPKO EYE CARE SHOPKO EYE CARE SCHAEFER & ASSOCIATES WISCONSIN VISION INC CENTER 4033 CENTER 4033 EYECARE N85 W16033 APPLETON 1640 APPLETON RD 1640 APPLETON RD N86 W16275 APPLETON AVE MENASHA, WI 54952 MENASHA, WI 54952 AVE MENOMONEE FALLS, WI (920) 725-3752 (920) 725-3752 MENOMONEE FALLS, WI 53051 53051 (262) 251-1900 (262) 532-0570 CATHERINE LOUGHRIN MICHAEL STEVENSON O.D. O.D. SHOPKO EYE CARE CYNTHIA DECKER-RIDDLE SHOPKO EYE CARE CENTER 4033 DONNA BELANGER O.D. O.D. CENTER 4033 1640 APPLETON RD WISCONSIN VISION INC WISCONSIN VISION INC 1640 APPLETON RD MENASHA, WI 54952 N85 W16033 APPLETON N85 W16033 APPLETON AVE AVE MENASHA, WI 54952 (920) 725-3752 (920) 725-3752 MENOMONEE FALLS, WI MENOMONEE FALLS, WI 53051 53051 (262) 251-1900 (262) 251-1900 GARY TACKMAN O.D. JONATHAN MENOS O.D. SHOPKO EYE CARE COMMUNITY EYECARE INC CENTER 4033 AMY BELL O.D. WILLIAM DICK O.D. 1255 APPLETON RD 1640 APPLETON RD BELL EYE CARE LENSCRAFTERS MENASHA, WI 54952 MENASHA, WI 54952 N86 W16275 APPLETON N95W 18162 APPLETON (920) 722-6872 (920) 725-3752 AVE AVE MENOMONEE FALLS, WI LOT 103 53051 MENOMONEE FALLS, WI MICHELLE MUELLER O.D. KRISTIE THIEME O.D. (262) 251-1570 53051 SHOPKO EYE CARE SHOPKO EYE CARE (262) 251-1378 CENTER 4033 CENTER 4033 1640 APPLETON RD 1640 APPLETON RD JOSEPH CARLINO O.D. MENASHA, WI 54952 MENASHA, WI 54952 AURORA HEALTHCARE DONALD DLOUHY O.D. (920) 725-3752 (920) 725-3752 N 84 W 16889 MENOMONEE KINDY OPTICAL AVE N82W15340 APPLETON AVE MENOMONEE FALLS, WI MENOMONEE FALLS, WI SHOPKO OPTICAL 4033 RICHARD TOELLNER O.D. 53051 53051 OPT. SHOPKO EYE CARE (262) 251-7500 (262) 255-5754 SHOPKO EYE CARE CENTER 4033 CENTER 4033 1640 APPLETON RD 1640 APPLETON RD MENASHA, WI 54952 JEFFREY CHRISTIANSON LYNDA ENEMUOH O.D. MENASHA, WI 54952 (920) 725-3752 O.D. WISCONSIN VISION INC (920) 725-3752 WISCONSIN VISION INC N85 W16033 APPLETON N85 W16033 APPLETON AVE MENOMONEE AVE MENOMONEE FALLS, WI RICHARD ROWE O.D. FALLS MENOMONEE FALLS, WI 53051 SHOPKO EYE CARE 53051 (262) 251-1900 CENTER 4033 HODA AHMADI M.D. (262) 251-1900 1640 APPLETON RD MENOMONEE FALLS MENASHA, WI 54952 CLINIC KRISTINE EVANS O.D. (920) 725-3752 W180 N8000 TOWN HALL EDWARD COPE O.D. WISCONSIN VISION INC MENOMONEE FALLS, WI MENOMONEE FALLS 53051 N85 W16033 APPLETON CLINIC AVE (262) 255-2500 DAVID SLAGOWSKI O.D. W180 N8000 TOWN HALL MENOMONEE FALLS, WI SHOPKO EYE CARE MENOMONEE FALLS, WI 53051 CENTER 4033 53051 (262) 251-1900 1640 APPLETON RD NICOLE AMIDON O.D. (262) 255-2500 MENASHA, WI 54952 WISCONSIN VISION INC (920) 725-3752 N85 W16033 APPLETON AVE MENOMONEE FALLS, WI 53051 (262) 251-1900

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 39 of 79 MENOMONEE MENOMONEE MENOMONEE MENOMONEE FALLS FALLS FALLS FALLS

SARA FALTER O.D. CASSANDRE HETZER O.D. ANNA KOECK O.D. ROXANNE PHELPS O.D. HERSLOF OPTICIANS KINDY OPTICAL WISCONSIN VISION INC AURORA HEALTHCARE W176N9328 RIVER CREST N82W15340 APPLETON AVE N85 W16033 APPLETON N 84 W 16889 MENOMONEE DR MENOMONEE FALLS, WI AVE AVE MENOMONEE FALLS, WI 53051 MENOMONEE FALLS, WI MENOMONEE FALLS, WI 53051 (262) 255-5754 53051 53051 (262) 251-8315 (262) 251-1900 (262) 251-7500

THOMAS HEYRMAN M.D. DONALD GALLE OPT. AURORA HEALTHCARE LENSCRAFTERS #5617 DANIEL PRIDEMORE O.D. OPT. KINDY OPTICAL N 84 W 16889 MENOMONEE MENOMONEE FALLS N82W15340 APPLETON AVE AVE LENSCRAFTERS CLINIC MENOMONEE FALLS, WI MENOMONEE FALLS, WI N95W 18162 APPLETON W180 N8000 TOWN HALL 53051 53051 AVE MENOMONEE FALLS, WI (262) 255-5754 (262) 251-7500 LOT 103 53051 MENOMONEE FALLS, WI (262) 255-2500 53051 KERRI GRAMS-VANCE O.D. GREGORY HUBERTUS O.D. (262) 251-1378 LENSCRAFTERS WISCONSIN VISION INC ANNA SADLER O.D. N95W 18162 APPLETON N85 W16033 APPLETON WISCONSIN VISION INC AVE AVE ROBERT MATHAUS O.D. N85 W16033 APPLETON LOT 103 MENOMONEE FALLS, WI WISCONSIN VISION INC AVE MENOMONEE FALLS, WI 53051 N85 W16033 APPLETON MENOMONEE FALLS, WI 53051 (262) 251-1900 AVE 53051 (262) 251-1378 MENOMONEE FALLS, WI (262) 251-1900 53051 JEFFREY JENSEN O.D. (262) 251-1900 PAUL GUENVEUR O.D. LENSCRAFTERS YOSEPH SARRAFZADEH O.D. SCHAEFER & ASSOCIATES N95W 18162 APPLETON EYECARE AVE STEPHANIE MCCAIG O.D. WISCONSIN VISION INC N86 W16275 APPLETON LOT 103 LENSCRAFTERS N85 W16033 APPLETON AVE MENOMONEE FALLS, WI N95W 18162 APPLETON AVE MENOMONEE FALLS, WI 53051 AVE MENOMONEE FALLS, WI 53051 (262) 251-1378 LOT 103 53051 (262) 532-0570 MENOMONEE FALLS, WI (262) 251-1900 53051 JEREMY KEMMERLING O.D. (262) 251-1378 GERARD SCHMITZ M.D. AURORA HEALTHCARE WISCONSIN VISION INC OPT. N85 W16033 APPLETON AURORA HEALTHCARE AURORA HEALTHCARE AVE ROBERT MEYER O.D. N 84 W 16889 MENOMONEE N 84 W 16889 MENOMONEE MENOMONEE FALLS, WI WISCONSIN VISION INC AVE AVE 53051 N85 W16033 APPLETON MENOMONEE FALLS, WI MENOMONEE FALLS, WI (262) 251-1900 AVE 53051 53051 MENOMONEE FALLS, WI (262) 251-7500 (262) 251-7500 53051 LOGAN KIEKHAFER O.D. (262) 251-1900 WISCONSIN VISION INC JOHN SCHRODER O.D. PAUL HERZFELD O.D. N85 W16033 APPLETON LENSCRAFTERS HERSLOF OPTICIANS AVE HERSLOF OPTICIANS OPT. N95W 18162 APPLETON W176N9328 RIVER CREST MENOMONEE FALLS, WI HERSLOF OPTICIANS AVE DR 53051 W176N9328 RIVER CREST LOT 103 MENOMONEE FALLS, WI (262) 251-1900 DR MENOMONEE FALLS, WI 53051 MENOMONEE FALLS, WI 53051 (262) 251-8315 53051 (262) 251-1378 (262) 251-8315

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 40 of 79 MENOMONEE MENOMONEE MEQUON MERRILL FALLS FALLS

PAYAL SHAH O.D. NICHOLAS ZAHN O.D. JAMES IVANOSKI O.D. MATTHEW JOHNSON O.D. LENSCRAFTERS WISCONSIN VISION INC LAKESHORE EYE CARE EYE CLINIC OF WISCONSIN N95W 18162 APPLETON N85 W16033 APPLETON 10320 N PORT SC AVE AVE WASHINGTON RD 503 S CENTER AVE LOT 103 MENOMONEE FALLS, WI STE A SUITE 7 MENOMONEE FALLS, WI 53051 MEQUON, WI 53092 MERRILL, WI 54452 53051 (262) 251-1900 (262) 241-1919 (715) 536-2535 (262) 251-1378

MENOMONIE MERRILL ANNE KIEFER OPT. MARIA STECK O.D. EYE CLINIC OF WISCONSIN LENSCRAFTERS SC SIOBHAN BEEKSMA O.D. N95W 18162 APPLETON JENNIFER AARRESTAD 503 S CENTER AVE CHIPPEWA VALLEY EYE OPT. AVE SUITE 7 CLINIC EYE CLINIC OF WISCONSIN LOT 103 MERRILL, WI 54452 710 WOLSKE BAY RD SC MENOMONEE FALLS, WI (715) 536-2535 53051 MENOMONIE, WI 54751 503 S CENTER AVE (262) 251-1378 (715) 235-8335 SUITE 7 MERRILL, WI 54452 ROGER LAMOREUX O.D. (715) 536-2535 REZIN OPTICAL LLC DANA WEBB O.D. CHAD VIETH O.D. 728 E 2ND ST AURORA HEALTHCARE CHIPPEWA VALLEY EYE CLINIC MERRILL, WI 54452 N 84 W 16889 MENOMONEE BRIDGETTE DIXON OPT. (715) 536-4292 AVE 710 WOLSKE BAY RD EYE CLINIC OF WISCONSIN MENOMONEE FALLS, WI MENOMONIE, WI 54751 SC 53051 (715) 235-8335 503 S CENTER AVE CARMEN LANG OPT. (262) 251-7500 SUITE 7 MERRILL, WI 54452 EYE CLINIC OF WISCONSIN SC MEQUON (715) 536-2535 503 S CENTER AVE JOSEPH WILSON O.D. SUITE 7 WISCONSIN VISION INC SARA FALTER O.D. MERRILL, WI 54452 N85 W16033 APPLETON KAREN HAMERLY OPT. HERSLOF OPTICIANS (715) 536-2535 AVE EYE CLINIC OF WISCONSIN MENOMONEE FALLS, WI 10320 N PORT SC WASHINGTON RD 53051 503 S CENTER AVE STE B (262) 251-1900 SUITE 7 PATRICIA LECLAIR OPT. MEQUON, WI 53092 MERRILL, WI 54452 EYE CLINIC OF WISCONSIN (262) 478-0224 SC (715) 536-2535 SARA WINKLER O.D. 503 S CENTER AVE WISCONSIN VISION INC SUITE 7 MARK GERMAN O.D. MERRILL, WI 54452 N85 W16033 APPLETON VICKI HARWOOD OPT. LAKESHORE EYE CARE (715) 536-2535 AVE EYE CLINIC OF WISCONSIN MENOMONEE FALLS, WI 10320 N PORT SC WASHINGTON RD 53051 503 S CENTER AVE (262) 251-1900 STE A SUITE 7 KATIE MICHALSKI O.D. MEQUON, WI 53092 MERRILL, WI 54452 EYE CLINIC OF WISCONSIN (262) 241-1919 SC (715) 536-2535 JEFFREY YOUNG M.D. 503 S CENTER AVE MENOMONEE FALLS SUITE 7 CLINIC PAUL HERZFELD O.D. MERRILL, WI 54452 GINA HECK O.D. W180 N8000 TOWN HALL HERSLOF OPTICIANS (715) 536-2535 EYE CLINIC OF WISCONSIN MENOMONEE FALLS, WI 10320 N PORT SC 53051 WASHINGTON RD 503 S CENTER AVE (262) 255-2500 STE B SUITE 7 MEQUON, WI 53092 MERRILL, WI 54452 (262) 478-0224 (715) 536-2535

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 41 of 79 MERRILL MIDDLETON MIDDLETON MILWAUKEE

LYNDA NOGER OPT. COLIN CONNORS O.D. DANIELLE SEDDIO O.D. MARGARETTE ALCESTO EYE CLINIC OF WISCONSIN ISTHMUS EYE CARE SC BRANDON EYES INC O.D. SC 7601 UNIVERSITY AVE 8406 OLD SAUK RD WISCONSIN VISION INC 503 S CENTER AVE STE 102 MIDDLETON, WI 53562 5530 N PORT WASHINGTON RD SUITE 7 MIDDLETON, WI 53562 (608) 833-7256 UNIT C MERRILL, WI 54452 (608) 831-3366 (715) 536-2535 MILWAUKEE, WI 53217 TIMOTHY WILSON O.D. (414) 897-0152 VICTOR CONNORS O.D. ISTHMUS EYE CARE SC RONALD PIFFL O.D. ISTHMUS EYE CARE SC 7601 UNIVERSITY AVE MARGARETTE ALCESTO DR RONALD J PIFFL OPT 7601 UNIVERSITY AVE STE 102 O.D. LLC STE 102 MIDDLETON, WI 53562 WISCONSIN VISION INC 1007 E 1ST ST MIDDLETON, WI 53562 (608) 831-3366 7528 W BURLEIGH ST MERRILL, WI 54452 (608) 831-3366 (715) 536-2020 MILWAUKEE, WI 53210 MILTON (414) 873-9090 SCOTT JENS O.D. RICKY SCALCUCCI O.D. ISTHMUS EYE CARE SC JAYME LONG O.D. MARGARETTE ALCESTO EYE CLINIC OF WISCONSIN 7601 UNIVERSITY AVE SC MILTON VISION CTR O.D. STE 102 503 S CENTER AVE 641 E ST MARY ST WISCONSIN VISION INC MIDDLETON, WI 53562 SUITE 7 MILTON, WI 53563 1920 W LAYTON AVE (608) 831-3366 MERRILL, WI 54452 (608) 868-4651 MILWAUKEE, WI 53221 (715) 536-2535 (414) 325-8600 RICHARD JUN O.D. MICHAEL LONG O.D. ISTHMUS EYE CARE SC DANIEL STOEHR O.D. MILTON VISION CTR MARGARETTE ALCESTO 7601 UNIVERSITY AVE O.D. EYE CLINIC OF WISCONSIN 641 E ST MARY ST STE 102 WISCONSIN VISION INC SC MILTON, WI 53563 MIDDLETON, WI 53562 4818 S 76TH ST 503 S CENTER AVE (608) 868-4651 SUITE 7 (608) 831-3366 STE 1 MERRILL, WI 54452 MILWAUKEE, WI 53220 (414) 431-0385 (715) 536-2535 TRISTAN LONG O.D. STEPHEN KESSLER O.D. MILTON VISION CTR LIFETIME EYECARE 641 E ST MARY ST MIDDLETON CENTER MARGARETTE ALCESTO 7425 UNIVERSITY AVE MILTON, WI 53563 O.D. MIDDLETON, WI 53562 (608) 868-4651 WISCONSIN VISION INC NORMAN BRANDON O.D. (608) 831-2033 4163 N OAKLAND AVE BRANDON EYES INC MILWAUKEE, WI 53211 MILWAUKEE 8406 OLD SAUK RD (414) 455-8131 MIDDLETON, WI 53562 AJA KIMREY O.D. ISTHMUS EYE CARE SC (608) 833-7256 MARGARETTE ALCESTO 7601 UNIVERSITY AVE O.D. JENNIFER ALVAREZ O.D. STE 102 WISCONSIN VISION INC PREMIER VISION ADAM BURNS O.D. MIDDLETON, WI 53562 1401 S 108TH ST 8693 N PORT ISTHMUS EYE CARE SC (608) 831-3366 MILWAUKEE, WI 53214 WASHINGTON RD 7601 UNIVERSITY AVE (414) 476-0200 MILWAUKEE, WI 53217 STE 102 (414) 351-2020 MIDDLETON, WI 53562 CALLIE MAURSETTER O.D. (608) 831-3366 ISTHMUS EYE CARE SC MARGARETTE ALCESTO 7601 UNIVERSITY AVE O.D. NICOLE AMIDON O.D. STE 102 WISCONSIN VISION INC WISCONSIN VISION INC MIDDLETON, WI 53562 301 N WATER ST 1401 S 108TH ST (608) 831-3366 STE 350 MILWAUKEE, WI 53214 MILWAUKEE, WI 53202 (414) 476-0200 (414) 539-3524

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 42 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

NICOLE AMIDON O.D. JOEL BAISDEN O.D. JEFF BANAS O.D. DONNA BELANGER O.D. WISCONSIN VISION INC BADGER OPTICAL OF WISCONSIN VISION INC WISCONSIN VISION INC 7528 W BURLEIGH ST MAYFAIR 1220 MILLER PARK WAY 4163 N OAKLAND AVE MILWAUKEE, WI 53210 2505 N MAYFAIR RD MILWAUKEE, WI 53214 MILWAUKEE, WI 53211 (414) 873-9090 STE 100 (414) 476-0200 (414) 455-8131 MILWAUKEE, WI 53226 (414) 453-7020 NICOLE AMIDON O.D. JEFF BANAS O.D. DONNA BELANGER O.D. WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC 1220 MILLER PARK WAY JEFF BANAS O.D. 1920 W LAYTON AVE 301 N WATER ST MILWAUKEE, WI 53214 WISCONSIN VISION INC MILWAUKEE, WI 53221 STE 350 (414) 476-0200 7528 W BURLEIGH ST (414) 325-8600 MILWAUKEE, WI 53202 MILWAUKEE, WI 53210 (414) 539-3524 (414) 873-9090 NICOLE AMIDON O.D. MICHAEL WISCONSIN VISION INC BARDENWERPER O.D. DONNA BELANGER O.D. 4818 S 76TH ST JEFF BANAS O.D. PEARLE VISION WISCONSIN VISION INC STE 1 WISCONSIN VISION INC 695 W SILVER SPRING DR 4818 S 76TH ST MILWAUKEE, WI 53220 5530 N PORT MILWAUKEE, WI 53217 STE 1 (414) 431-0385 WASHINGTON RD (414) 961-6000 MILWAUKEE, WI 53220 UNIT C (414) 431-0385 MILWAUKEE, WI 53217 NICOLE AMIDON O.D. (414) 897-0152 TRISTAN BEGOTKA O.D. WISCONSIN VISION INC SPECS APPEAL DONNA BELANGER O.D. 301 N WATER ST 420 W SILVER SPRING DR WISCONSIN VISION INC JEFF BANAS O.D. STE 350 MILWAUKEE, WI 53217 7528 W BURLEIGH ST MILWAUKEE, WI 53202 WISCONSIN VISION INC (414) 962-2020 MILWAUKEE, WI 53210 (414) 539-3524 4818 S 76TH ST (414) 873-9090 STE 1 MILWAUKEE, WI 53220 CORINNE BEIERSDORF NICOLE AMIDON O.D. (414) 431-0385 O.D. DONNA BELANGER O.D. PEARLE VISION WISCONSIN VISION INC WISCONSIN VISION INC 695 W SILVER SPRING DR 5530 N PORT 5530 N PORT WASHINGTON RD JEFF BANAS O.D. MILWAUKEE, WI 53217 WASHINGTON RD UNIT C WISCONSIN VISION INC (414) 961-6000 UNIT C MILWAUKEE, WI 53217 4163 N OAKLAND AVE MILWAUKEE, WI 53217 (414) 897-0152 MILWAUKEE, WI 53211 (414) 897-0152 (414) 455-8131 DONNA BELANGER O.D. WISCONSIN VISION INC NICOLE AMIDON O.D. 1220 MILLER PARK WAY BRYAN BELL O.D. WISCONSIN VISION INC JEFF BANAS O.D. MILWAUKEE, WI 53214 PREMIER EYES 1920 W LAYTON AVE WISCONSIN VISION INC (414) 476-0200 7815 W BURLEIGH ST MILWAUKEE, WI 53221 301 N WATER ST MILWAUKEE, WI 53222 (414) 325-8600 STE 350 (414) 873-5135 MILWAUKEE, WI 53202 DONNA BELANGER O.D. (414) 539-3524 WISCONSIN VISION INC DAVID AYMOND M.D. 1920 W LAYTON AVE AMERICAS BEST OPT. PREMIER VISION MILWAUKEE, WI 53221 AMERICAS BEST 8693 N PORT JEFF BANAS O.D. (414) 325-8600 4101 N 56TH ST WASHINGTON RD WISCONSIN VISION INC MILWAUKEE, WI 53216 MILWAUKEE, WI 53217 1401 S 108TH ST (414) 447-9403 (414) 351-2020 MILWAUKEE, WI 53214 DONNA BELANGER O.D. (414) 476-0200 WISCONSIN VISION INC 1401 S 108TH ST MILWAUKEE, WI 53214 (414) 476-0200

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 43 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

AMERICAS BEST OPT. JEFFREY CHRISTIANSON ANDREW COOK O.D. PAUL DALECKY O.D. AMERICAS BEST O.D. BRONZE OPTICAL LLC WISCONSIN VISION INC 9074 N GREEN BAY RD WISCONSIN VISION INC 1568 NORTH FARWELL 1401 S 108TH ST MILWAUKEE, WI 53209 1920 W LAYTON AVE AVENUE MILWAUKEE, WI 53214 (414) 214-7894 MILWAUKEE, WI 53221 MILWAUKEE, WI 53202 (414) 476-0200 (414) 325-8600 (414) 221-7055

NIM BHAVSAR O.D. PAUL DALECKY O.D. AMERICAS BEST JEFFREY CHRISTIANSON MARK DAGENAIS O.D. WISCONSIN VISION INC O.D. 4101 N 56TH ST THE EYE GROUP SC 4818 S 76TH ST MILWAUKEE, WI 53216 WISCONSIN VISION INC 3670 S 108TH ST STE 1 301 N WATER ST (414) 447-9403 STE 204 MILWAUKEE, WI 53220 STE 350 MILWAUKEE, WI 53228 (414) 431-0385 MILWAUKEE, WI 53202 (414) 453-1010 NIM BHAVSAR O.D. (414) 539-3524 AMERICAS BEST PAUL DALECKY O.D. 9074 N GREEN BAY RD BARRY DAHLGREN O.D. WISCONSIN VISION INC JEFFREY CHRISTIANSON MILWAUKEE, WI 53209 DRS WEBER & DAHLGREN 1920 W LAYTON AVE O.D. (414) 214-7894 7311 W GREENFIELD AVE MILWAUKEE, WI 53221 WISCONSIN VISION INC MILWAUKEE, WI 53214 (414) 325-8600 4818 S 76TH ST (414) 453-1010 STE 1 JAIME BLANCHARD O.D. MILWAUKEE, WI 53220 KNIGHT VISION & PAUL DALECKY O.D. (414) 431-0385 GLAUCOMA SPEC MATTHEW DAHLGREN M.D. WISCONSIN VISION INC 7300 W GREENFIELD MILWAUKEE EYE CARE 301 N WATER ST MILWAUKEE, WI 53214 ASSOCIATES STE 350 JEFFREY CHRISTIANSON (414) 453-6667 500 W BROWN DEER ROAD O.D. MILWAUKEE, WI 53202 STE 110 WISCONSIN VISION INC (414) 539-3524 MILWAUKEE, WI 53217 5530 N PORT ALEXANDRA BRANDT O.D. (414) 271-2020 WASHINGTON RD LENSCRAFTERS UNIT C PAUL DALECKY O.D. 4850 S 74TH ST MILWAUKEE, WI 53217 WISCONSIN VISION INC MILWAUKEE, WI 53220 MATTHEW DAHLGREN M.D. (414) 897-0152 4163 N OAKLAND AVE (414) 282-3200 MILWAUKEE EYE CARE MILWAUKEE, WI 53211 ASSOCIATES (414) 455-8131 1684 N PROSPECT AVE JEFFREY CHRISTIANSON MILWAUKEE, WI 53202 EDWARD BRAZA M.D. O.D. (414) 271-2020 AURORA HEALTHCARE WISCONSIN VISION INC PAUL DALECKY O.D. 3003 W GOOD HOPE RD 7528 W BURLEIGH ST WISCONSIN VISION INC MILWAUKEE, WI 53209 MILWAUKEE, WI 53210 5530 N PORT BARRY DAHLGREN O.D. (414) 352-3100 (414) 873-9090 WASHINGTON RD THE EYE GROUP SC UNIT C 3670 S 108TH ST MILWAUKEE, WI 53217 STE 204 DARWIN CHENTNIK O.D. JEFFREY CHRISTIANSON (414) 897-0152 DR DARWIN EYE CARE O.D. MILWAUKEE, WI 53228 3800 S 27TH ST WISCONSIN VISION INC (414) 453-1010 MILWAUKEE, WI 53221 1220 MILLER PARK WAY PAUL DALECKY O.D. (414) 384-2020 MILWAUKEE, WI 53214 WISCONSIN VISION INC PAUL DALECKY O.D. (414) 476-0200 7528 W BURLEIGH ST WISCONSIN VISION INC MILWAUKEE, WI 53210 JEFFREY CHRISTIANSON 1220 MILLER PARK WAY (414) 873-9090 O.D. JOY CHUANG O.D. MILWAUKEE, WI 53214 WISCONSIN VISION INC DESIGN VISION OPTICAL (414) 476-0200 1401 S 108TH ST 8720 W NORTH AVE MILWAUKEE, WI 53214 MILWAUKEE, WI 53226 (414) 476-0200 (414) 774-0200

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 44 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

CYNTHIA DECKER-RIDDLE CYNTHIA DECKER-RIDDLE JASON EDMONDS M.D. THOMAS ELSON O.D. O.D. O.D. MILWAUKEE EYE CARE WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC ASSOCIATES 1401 S 108TH ST 1220 MILLER PARK WAY 1920 W LAYTON AVE 500 W BROWN DEER ROAD MILWAUKEE, WI 53214 MILWAUKEE, WI 53214 MILWAUKEE, WI 53221 STE 110 (414) 476-0200 (414) 476-0200 (414) 325-8600 MILWAUKEE, WI 53217 (414) 271-2020 LYNDA ENEMUOH O.D. CYNTHIA DECKER-RIDDLE WILLIAM DICK O.D. WISCONSIN VISION INC O.D. LENSCRAFTERS THOMAS ELSON O.D. 4818 S 76TH ST WISCONSIN VISION INC 5684 N CENTERPARK WAY WISCONSIN VISION INC STE 1 4163 N OAKLAND AVE MILWAUKEE, WI 53217 301 N WATER ST MILWAUKEE, WI 53220 MILWAUKEE, WI 53211 (414) 962-2021 STE 350 (414) 431-0385 (414) 455-8131 MILWAUKEE, WI 53202 (414) 539-3524 WILLIAM DICK O.D. LYNDA ENEMUOH O.D. CYNTHIA DECKER-RIDDLE LENSCRAFTERS WISCONSIN VISION INC O.D. 5794 N DR THOMAS ELSON O.D. 1920 W LAYTON AVE WISCONSIN VISION INC Q 121 WISCONSIN VISION INC MILWAUKEE, WI 53221 5530 N PORT MILWAUKEE, WI 53217 1920 W LAYTON AVE WASHINGTON RD (414) 325-8600 (414) 967-7764 MILWAUKEE, WI 53221 UNIT C (414) 325-8600 MILWAUKEE, WI 53217 LYNDA ENEMUOH O.D. (414) 897-0152 WILLIAM DICK O.D. WISCONSIN VISION INC LENSCRAFTERS THOMAS ELSON O.D. 1401 S 108TH ST 4850 S 74TH ST WISCONSIN VISION INC CYNTHIA DECKER-RIDDLE MILWAUKEE, WI 53214 O.D. MILWAUKEE, WI 53220 7528 W BURLEIGH ST (414) 476-0200 WISCONSIN VISION INC (414) 282-3200 MILWAUKEE, WI 53210 4818 S 76TH ST (414) 873-9090 STE 1 LYNDA ENEMUOH O.D. ALWIN EDAKKUNNATHU MILWAUKEE, WI 53220 WISCONSIN VISION INC O.D. THOMAS ELSON O.D. (414) 431-0385 301 N WATER ST LENSCRAFTERS WISCONSIN VISION INC STE 350 5794 N BAYSHORE DR 4818 S 76TH ST MILWAUKEE, WI 53202 Q 121 CYNTHIA DECKER-RIDDLE STE 1 (414) 539-3524 O.D. MILWAUKEE, WI 53217 MILWAUKEE, WI 53220 WISCONSIN VISION INC (414) 967-7764 (414) 431-0385 7528 W BURLEIGH ST LYNDA ENEMUOH O.D. MILWAUKEE, WI 53210 WISCONSIN VISION INC ALWIN EDAKKUNNATHU (414) 873-9090 THOMAS ELSON O.D. 7528 W BURLEIGH ST O.D. WISCONSIN VISION INC MILWAUKEE, WI 53210 LENSCRAFTERS 5530 N PORT (414) 873-9090 5684 N CENTERPARK WAY CYNTHIA DECKER-RIDDLE WASHINGTON RD O.D. MILWAUKEE, WI 53217 UNIT C (414) 962-2021 WISCONSIN VISION INC MILWAUKEE, WI 53217 LYNDA ENEMUOH O.D. 1401 S 108TH ST (414) 897-0152 WISCONSIN VISION INC MILWAUKEE, WI 53214 1220 MILLER PARK WAY JASON EDMONDS M.D. (414) 476-0200 MILWAUKEE, WI 53214 MILWAUKEE EYE CARE THOMAS ELSON O.D. ASSOCIATES (414) 476-0200 WISCONSIN VISION INC 1684 N PROSPECT AVE CYNTHIA DECKER-RIDDLE 1220 MILLER PARK WAY MILWAUKEE, WI 53202 O.D. MILWAUKEE, WI 53214 (414) 271-2020 WISCONSIN VISION INC (414) 476-0200 301 N WATER ST STE 350 MILWAUKEE, WI 53202 (414) 539-3524

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 45 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

LYNDA ENEMUOH O.D. KRISTINE EVANS O.D. NICHOLAS FRAME M.D. KENT HAEFS O.D. WISCONSIN VISION INC WISCONSIN VISION INC MILWAUKEE EYE CARE AURORA HEALTHCARE 5530 N PORT 1401 S 108TH ST ASSOCIATES 3003 W GOOD HOPE RD WASHINGTON RD MILWAUKEE, WI 53214 1684 N PROSPECT AVE MILWAUKEE, WI 53209 UNIT C (414) 476-0200 MILWAUKEE, WI 53202 (414) 352-3100 MILWAUKEE, WI 53217 (414) 271-2020 (414) 897-0152 KRISTINE EVANS O.D. GEORGE HANSON O.D. WISCONSIN VISION INC NICHOLAS FRAME M.D. PREMIER EYES CHARLES ENGELBRECHT 1920 W LAYTON AVE MILWAUKEE EYE CARE 7815 W BURLEIGH ST O.D. MILWAUKEE, WI 53221 ASSOCIATES MILWAUKEE, WI 53222 AURORA HEALTHCARE (414) 325-8600 500 W BROWN DEER ROAD (414) 873-5135 7878 N 76TH STREET STE 110 MILWAUKEE, WI 53223 MILWAUKEE, WI 53217 (414) 586-5710 KRISTINE EVANS O.D. (414) 271-2020 NATHANIEL HARKINS O.D. WISCONSIN VISION INC METRO EYE 5530 N PORT 325 E CHICAGO ST CHARLES ENGELBRECHT WASHINGTON RD JACLYN GARLICH O.D. MILWAUKEE, WI 53202 O.D. UNIT C OPHTHALMOLOGY (414) 727-5888 AURORA HEALTHCARE MILWAUKEE, WI 53217 ASSOCIATES SC 3003 W GOOD HOPE RD (414) 897-0152 2500 W LAYTON AVE MILWAUKEE, WI 53209 STE 110 NATHANIEL HARKINS O.D. (414) 352-3100 MILWAUKEE, WI 53221 TOWER OPTICAL (414) 281-0424 KRISTINE EVANS O.D. 2130 N MAYFAIR RD WISCONSIN VISION INC MILWAUKEE, WI 53226 KRISTINE EVANS O.D. 4818 S 76TH ST (414) 453-6500 WISCONSIN VISION INC STE 1 KNIGHT VISION & 1220 MILLER PARK WAY GLAUCOMA SPECIALISTS MILWAUKEE, WI 53220 MILWAUKEE, WI 53214 OPT. (414) 431-0385 AURORA HEALTHCARE (414) 476-0200 KNIGHT VISION & GLAUCOMA SPEC OPT. 7300 W GREENFIELD AURORA HEALTHCARE SARA FALTER O.D. MILWAUKEE, WI 53214 3003 W GOOD HOPE RD KRISTINE EVANS O.D. EYE CARE VISION OF (414) 453-6667 MILWAUKEE, WI 53209 WISCONSIN VISION INC WAUWATOSA (414) 352-3100 301 N WATER ST 6412 W NORTH AVE STE 350 MILWAUKEE, WI 53213 PAUL GODICH O.D. MILWAUKEE, WI 53202 (414) 774-2020 THE EYE GROUP SC AURORA HEALTHCARE (414) 539-3524 OPT. 3670 S 108TH ST AURORA HEALTHCARE STE 204 PETER FOOTE M.D. 7878 N 76TH STREET MILWAUKEE, WI 53228 KRISTINE EVANS O.D. MILWAUKEE EYE CARE MILWAUKEE, WI 53223 (414) 453-1010 WISCONSIN VISION INC ASSOCIATES (414) 586-5710 4163 N OAKLAND AVE 1684 N PROSPECT AVE MILWAUKEE, WI 53211 MILWAUKEE, WI 53202 KERRI GRAMS-VANCE O.D. (414) 455-8131 (414) 271-2020 JAY HEILMANN O.D. LENSCRAFTERS MILWAUKEE EYE CARE 5684 N CENTERPARK WAY ASSOCIATES MILWAUKEE, WI 53217 KRISTINE EVANS O.D. PETER FOOTE M.D. 500 W BROWN DEER ROAD (414) 962-2021 WISCONSIN VISION INC MILWAUKEE EYE CARE STE 110 7528 W BURLEIGH ST ASSOCIATES MILWAUKEE, WI 53217 MILWAUKEE, WI 53210 500 W BROWN DEER ROAD (414) 271-2020 KENT HAEFS O.D. (414) 873-9090 STE 110 MILWAUKEE, WI 53217 AURORA HEALTHCARE (414) 271-2020 7878 N 76TH STREET MILWAUKEE, WI 53223 (414) 586-5710

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 46 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

JAY HEILMANN O.D. PAUL HERZFELD O.D. GREGORY HUBERTUS O.D. JOHN JENNINGS O.D. MILWAUKEE EYE CARE VISION MART WISCONSIN VISION INC LENSCRAFTERS ASSOCIATES 2110 E OKLAHOMA AVE 5530 N PORT 4850 S 74TH ST 1684 N PROSPECT AVE MILWAUKEE, WI 53207 WASHINGTON RD MILWAUKEE, WI 53220 MILWAUKEE, WI 53202 (414) 747-9977 UNIT C (414) 282-3200 (414) 271-2020 MILWAUKEE, WI 53217 (414) 897-0152 PAUL HERZFELD O.D. JEFFREY JENSEN O.D. JOSHUA HEINECKE O.D. VISION MART LENSCRAFTERS TARGET OPTICAL 6760 W NATIONAL AVE GREGORY HUBERTUS O.D. 5684 N CENTERPARK WAY 2950 S CHASE AVE MILWAUKEE, WI 53214 WISCONSIN VISION INC MILWAUKEE, WI 53217 MILWAUKEE, WI 53207 (414) 771-2020 301 N WATER ST (414) 962-2021 (414) 483-1092 STE 350 MILWAUKEE, WI 53202 THOMAS HEYRMAN M.D. (414) 539-3524 JEFFREY JENSEN O.D. RONALD HENSON O.D. AURORA HEALTHCARE LENSCRAFTERS LENSCRAFTERS 3003 W GOOD HOPE RD 5794 N BAYSHORE DR 4850 S 74TH ST MILWAUKEE, WI 53209 GREGORY HUBERTUS O.D. Q 121 MILWAUKEE, WI 53220 (414) 352-3100 WISCONSIN VISION INC MILWAUKEE, WI 53217 (414) 282-3200 1220 MILLER PARK WAY (414) 967-7764 MILWAUKEE, WI 53214 AARON HOLTEBECK M.D. (414) 476-0200 PAUL HERZFELD O.D. DR AARON HOLTEBECK STANLEY KAMINSKI OPT. HERSLOF OPTICAL MD SPECS APPEAL 12000 W CARMEN AVE 201 N MAYFAIR RD JAMES HULEN O.D. 420 W SILVER SPRING DR MILWAUKEE, WI 53225 STE 525 27TH STREET OPTICAL MILWAUKEE, WI 53217 (414) 462-1300 MILWAUKEE, WI 53226 921 N 27TH ST (414) 962-2020 (414) 259-1420 MILWAUKEE, WI 53208 (414) 933-3937 PAUL HERZFELD O.D. JEREMY KEMMERLING O.D. HERSLOF OPTICIANS GREGORY HUBERTUS O.D. WISCONSIN VISION INC 2350 N LAKE DR WISCONSIN VISION INC JAMES IVANOSKI O.D. 301 N WATER ST STE 305 1920 W LAYTON AVE SPECS APPEAL STE 350 MILWAUKEE, WI 53211 MILWAUKEE, WI 53221 420 W SILVER SPRING DR MILWAUKEE, WI 53202 (414) 272-1286 (414) 325-8600 MILWAUKEE, WI 53217 (414) 539-3524 (414) 962-2020

PAUL HERZFELD O.D. GREGORY HUBERTUS O.D. JEREMY KEMMERLING O.D. HERSLOF OPTICIANS WISCONSIN VISION INC AMY JANKOWSKI O.D. WISCONSIN VISION INC 411 E SILVER SPRING 4818 S 76TH ST METRO EYE 1401 S 108TH ST MILWAUKEE, WI 53217 STE 1 325 E CHICAGO ST MILWAUKEE, WI 53214 (414) 962-1250 MILWAUKEE, WI 53220 MILWAUKEE, WI 53202 (414) 476-0200 (414) 431-0385 (414) 727-5888

PAUL HERZFELD O.D. JEREMY KEMMERLING O.D. HERSLOF OPTICIANS GREGORY HUBERTUS O.D. JOHN JENNINGS O.D. WISCONSIN VISION INC 2500 N MAYFAIR RD WISCONSIN VISION INC DR AARON HOLTEBECK 4163 N OAKLAND AVE MILWAUKEE, WI 53226 1401 S 108TH ST MD MILWAUKEE, WI 53211 (414) 453-5360 MILWAUKEE, WI 53214 201 N MAYFAIR RD (414) 455-8131 (414) 476-0200 STE 525 MILWAUKEE, WI 53226 PAUL HERZFELD O.D. (414) 259-1420 JEREMY KEMMERLING O.D. HERSLOF OPTICIANS GREGORY HUBERTUS O.D. WISCONSIN VISION INC 3631 W OKLAHOMA AVE WISCONSIN VISION INC 4818 S 76TH ST MILWAUKEE, WI 53215 7528 W BURLEIGH ST STE 1 (414) 645-0909 MILWAUKEE, WI 53210 MILWAUKEE, WI 53220 (414) 873-9090 (414) 431-0385

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 47 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

JEREMY KEMMERLING O.D. LOGAN KIEKHAFER O.D. ANNA KOECK O.D. ANNA KOECK O.D. WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC 5530 N PORT 301 N WATER ST 5530 N PORT 7528 W BURLEIGH ST WASHINGTON RD STE 350 WASHINGTON RD MILWAUKEE, WI 53210 UNIT C MILWAUKEE, WI 53202 UNIT C (414) 873-9090 MILWAUKEE, WI 53217 (414) 539-3524 MILWAUKEE, WI 53217 (414) 897-0152 (414) 897-0152 MARK KONYN O.D. LOGAN KIEKHAFER O.D. AMERICAS BEST JEREMY KEMMERLING O.D. WISCONSIN VISION INC ANNA KOECK O.D. 4101 N 56TH ST WISCONSIN VISION INC 1920 W LAYTON AVE WISCONSIN VISION INC MILWAUKEE, WI 53216 1920 W LAYTON AVE MILWAUKEE, WI 53221 4163 N OAKLAND AVE (414) 447-9403 MILWAUKEE, WI 53221 (414) 325-8600 MILWAUKEE, WI 53211 (414) 325-8600 (414) 455-8131 MARK KONYN O.D. LOGAN KIEKHAFER O.D. AMERICAS BEST JEREMY KEMMERLING O.D. WISCONSIN VISION INC ANNA KOECK O.D. 9074 N GREEN BAY RD WISCONSIN VISION INC 1401 S 108TH ST WISCONSIN VISION INC MILWAUKEE, WI 53209 7528 W BURLEIGH ST MILWAUKEE, WI 53214 301 N WATER ST (414) 214-7894 MILWAUKEE, WI 53210 (414) 476-0200 STE 350 (414) 873-9090 MILWAUKEE, WI 53202 (414) 539-3524 MARK KONYN O.D. LOGAN KIEKHAFER O.D. TOWER OPTICAL JEREMY KEMMERLING O.D. WISCONSIN VISION INC 2130 N MAYFAIR RD WISCONSIN VISION INC 1220 MILLER PARK WAY ANNA KOECK O.D. MILWAUKEE, WI 53226 1220 MILLER PARK WAY MILWAUKEE, WI 53214 WISCONSIN VISION INC (414) 453-6500 MILWAUKEE, WI 53214 (414) 476-0200 1920 W LAYTON AVE (414) 476-0200 MILWAUKEE, WI 53221 (414) 325-8600 AMANDA KOPCZYK O.D. LOGAN KIEKHAFER O.D. DESIGN VISION OPTICAL LOGAN KIEKHAFER O.D. WISCONSIN VISION INC 8720 W NORTH AVE WISCONSIN VISION INC 4163 N OAKLAND AVE ANNA KOECK O.D. MILWAUKEE, WI 53226 5530 N PORT MILWAUKEE, WI 53211 WISCONSIN VISION INC (414) 774-0200 WASHINGTON RD (414) 455-8131 1401 S 108TH ST UNIT C MILWAUKEE, WI 53214 MILWAUKEE, WI 53217 (414) 476-0200 AMANDA KOPCZYK O.D. (414) 897-0152 ERIC KNIGHT O.D. METRO EYE KNIGHT VISION & 325 E CHICAGO ST GLAUCOMA SPEC ANNA KOECK O.D. MILWAUKEE, WI 53202 LOGAN KIEKHAFER O.D. 7300 W GREENFIELD WISCONSIN VISION INC (414) 727-5888 WISCONSIN VISION INC MILWAUKEE, WI 53214 1220 MILLER PARK WAY 4818 S 76TH ST (414) 453-6667 MILWAUKEE, WI 53214 STE 1 (414) 476-0200 MICHELLE KWON O.D. MILWAUKEE, WI 53220 DESIGN VISION OPTICAL (414) 431-0385 MELISSA KNOUS O.D. 8720 W NORTH AVE LENSCRAFTERS ANNA KOECK O.D. MILWAUKEE, WI 53226 5794 N BAYSHORE DR WISCONSIN VISION INC (414) 774-0200 LOGAN KIEKHAFER O.D. Q 121 4818 S 76TH ST WISCONSIN VISION INC MILWAUKEE, WI 53217 STE 1 7528 W BURLEIGH ST (414) 967-7764 MILWAUKEE, WI 53220 JEFFERY LAMARRE O.D. MILWAUKEE, WI 53210 (414) 431-0385 PEARLE VISION (414) 873-9090 695 W SILVER SPRING DR KRISTOPHER KNOUS O.D. MILWAUKEE, WI 53217 PEARLE VISION (414) 961-6000 695 W SILVER SPRING DR MILWAUKEE, WI 53217 (414) 961-6000

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 48 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

RYAN LANG O.D. TYLER LEE O.D. MICHELLE LEWIS O.D. DOUGLAS LONG M.D. PEARLE VISION AMERICAS BEST LENSCRAFTERS AURORA HEALTHCARE 695 W SILVER SPRING DR 4101 N 56TH ST 5794 N BAYSHORE DR 3003 W GOOD HOPE RD MILWAUKEE, WI 53217 MILWAUKEE, WI 53216 Q 121 MILWAUKEE, WI 53209 (414) 961-6000 (414) 447-9403 MILWAUKEE, WI 53217 (414) 352-3100 (414) 967-7764

JANICE LE O.D. TYLER LEE O.D. ROBERT MATHAUS O.D. PEARLE VISION AMERICAS BEST MICHELLE LEWIS O.D. WISCONSIN VISION INC 695 W SILVER SPRING DR 9074 N GREEN BAY RD PARAMOUNT OPTICAL 1920 W LAYTON AVE MILWAUKEE, WI 53217 MILWAUKEE, WI 53209 6809 N GREENBAY AVE MILWAUKEE, WI 53221 (414) 961-6000 (414) 214-7894 MILWAUKEE, WI 53209 (414) 325-8600 (414) 228-9295

JANICE LE O.D. LENSCRAFTERS #030 OPT. ROBERT MATHAUS O.D. WISCONSIN VISION INC LENSCRAFTERS MICHELLE LEWIS O.D. WISCONSIN VISION INC 1401 S 108TH ST 4850 S 74TH ST PEARLE VISION 1401 S 108TH ST MILWAUKEE, WI 53214 MILWAUKEE, WI 53220 695 W SILVER SPRING DR MILWAUKEE, WI 53214 (414) 476-0200 (414) 282-3200 MILWAUKEE, WI 53217 (414) 476-0200 (414) 961-6000

JANICE LE O.D. . LENSCRAFTERS #1306 ROBERT MATHAUS O.D. WISCONSIN VISION INC OPT. MEGAN LIND O.D. WISCONSIN VISION INC 4818 S 76TH ST LENSCRAFTERS EYE CARE VISION CTR 1220 MILLER PARK WAY STE 1 2500 N MAYFAIR RD WAUWATOSA MILWAUKEE, WI 53214 MILWAUKEE, WI 53220 SP 800 6412 W NORTH AVE (414) 476-0200 (414) 431-0385 MILWAUKEE, WI 53226 MILWAUKEE, WI 53213 (414) 453-2275 (414) 774-2020 ROBERT MATHAUS O.D. JANICE LE O.D. WISCONSIN VISION INC WISCONSIN VISION INC LENSCRAFTERS #419 OPT. MEGAN LIND O.D. 301 N WATER ST 1220 MILLER PARK WAY LENSCRAFTERS GRANGE VISION CENTER STE 350 MILWAUKEE, WI 53214 5794 N BAYSHORE DR INC MILWAUKEE, WI 53202 (414) 476-0200 Q 121 5312 S 27 ST (414) 539-3524 MILWAUKEE, WI 53217 MILWAUKEE, WI 53221 (414) 967-7764 (414) 281-4800 JANICE LE O.D. ROBERT MATHAUS O.D. WISCONSIN VISION INC WISCONSIN VISION INC 4163 N OAKLAND AVE LENSCRAFTERS #LC5581 MEGAN LIND O.D. 4163 N OAKLAND AVE OPT. MILWAUKEE, WI 53211 MILWAUKEE EYE CARE MILWAUKEE, WI 53211 ASSOCIATES (414) 455-8131 LENSCRAFTERS (414) 455-8131 5684 N CENTERPARK WAY 500 W BROWN DEER ROAD MILWAUKEE, WI 53217 STE 110 MILWAUKEE, WI 53217 JANICE LE O.D. (414) 962-2021 ROBERT MATHAUS O.D. (414) 271-2020 WISCONSIN VISION INC WISCONSIN VISION INC 301 N WATER ST 4818 S 76TH ST MICHELLE LEWIS O.D. STE 350 STE 1 MEGAN LIND O.D. MILWAUKEE, WI 53202 LENSCRAFTERS MILWAUKEE, WI 53220 MILWAUKEE EYE CARE (414) 539-3524 5684 N CENTERPARK WAY (414) 431-0385 MILWAUKEE, WI 53217 ASSOCIATES (414) 962-2021 1684 N PROSPECT AVE MILWAUKEE, WI 53202 JANICE LE O.D. (414) 271-2020 WISCONSIN VISION INC 1920 W LAYTON AVE MILWAUKEE, WI 53221 (414) 325-8600

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 49 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

ROBERT MATHAUS O.D. ROBERT MEYER O.D. HART MOSS M.D. HERSLOF OPTICIANS OPT. WISCONSIN VISION INC WISCONSIN VISION INC OPHTHALMOLOGY HERSLOF OPTICIANS 5530 N PORT 1401 S 108TH ST ASSOCIATES SC 411 E SILVER SPRING WASHINGTON RD MILWAUKEE, WI 53214 2500 W LAYTON AVE MILWAUKEE, WI 53217 UNIT C (414) 476-0200 STE 110 (414) 962-1250 MILWAUKEE, WI 53217 MILWAUKEE, WI 53221 (414) 897-0152 (414) 281-0424 ROBERT MEYER O.D. HERSLOF OPTICIANS OPT. WISCONSIN VISION INC HERSLOF OPTICIANS ROBERT MATHAUS O.D. 7528 W BURLEIGH ST KAMAL NASSIF M.D. 2500 N MAYFAIR RD WISCONSIN VISION INC MILWAUKEE, WI 53210 CESARZ NASSIF & MILWAUKEE, WI 53226 7528 W BURLEIGH ST (414) 873-9090 ASSOCIATES (414) 453-5360 MILWAUKEE, WI 53210 10625 W NORTH AVE (414) 873-9090 STE 200 ROBERT MEYER O.D. MILWAUKEE, WI 53226 DOUGLAS ORLICH O.D. WISCONSIN VISION INC (414) 258-6880 PREMIER VISION TONY MATUSZAK O.D. 1920 W LAYTON AVE 8693 N PORT AMERICAS BEST MILWAUKEE, WI 53221 WASHINGTON RD 4101 N 56TH ST (414) 325-8600 MARCUS NEITZKE O.D. MILWAUKEE, WI 53217 MILWAUKEE, WI 53216 DRS WEBER & DAHLGREN (414) 351-2020 (414) 447-9403 7311 W GREENFIELD AVE ROBERT MEYER O.D. MILWAUKEE, WI 53214 WISCONSIN VISION INC (414) 453-1010 OSCAR ORTIZ O.D. TONY MATUSZAK O.D. 4163 N OAKLAND AVE AMERICAS BEST AMERICAS BEST MILWAUKEE, WI 53211 4101 N 56TH ST 9074 N GREEN BAY RD (414) 455-8131 MARCUS NEITZKE O.D. MILWAUKEE, WI 53216 MILWAUKEE, WI 53209 THE EYE GROUP SC (414) 447-9403 (414) 214-7894 3670 S 108TH ST ROBERT MEYER O.D. STE 204 WISCONSIN VISION INC MILWAUKEE, WI 53228 OSCAR ORTIZ O.D. BRIAN MCGINLEY O.D. 4818 S 76TH ST (414) 453-1010 AMERICAS BEST OPTIX ON DOWNER STE 1 9074 N GREEN BAY RD 2636 N DOWNER AVE MILWAUKEE, WI 53220 MILWAUKEE, WI 53209 MILWAUKEE, WI 53211 (414) 431-0385 TARGET OPTICAL OPT. (414) 214-7894 (414) 964-3125 TARGET OPTICAL 2950 S CHASE AVE ROBERT MEYER O.D. MILWAUKEE, WI 53207 SHELBY OSWALD O.D. VISION CENTER MEIJER WISCONSIN VISION INC (414) 483-1092 LENSCRAFTERS OPT. 5530 N PORT 5794 N BAYSHORE DR VISION CENTER AT MEIJER WASHINGTON RD Q 121 11111 W BURLEIGH ST UNIT C HERSLOF OPTICIANS OPT. MILWAUKEE, WI 53217 MILWAUKEE, WI 53222 MILWAUKEE, WI 53217 HERSLOF OPTICAL (414) 967-7764 (414) 778-0684 (414) 897-0152 12000 W CARMEN AVE MILWAUKEE, WI 53225 (414) 462-1300 SHELBY OSWALD O.D. KAREN MERKLE O.D. MICHAEL MLYNSKI O.D. LENSCRAFTERS KIND OPTICAL AMERICAS BEST 5684 N CENTERPARK WAY 3925 S 76TH ST 4101 N 56TH ST HERSLOF OPTICIANS OPT. MILWAUKEE, WI 53217 MILWAUKEE, WI 53220 MILWAUKEE, WI 53216 HERSLOF OPTICIANS (414) 962-2021 (414) 543-2900 (414) 447-9403 3631 W OKLAHOMA AVE MILWAUKEE, WI 53215 (414) 645-0909 D'LISA PATTERSON O.D. ROBERT MEYER O.D. HERSLOF OPTICIANS WISCONSIN VISION INC 2350 N LAKE DR 1220 MILLER PARK WAY STE 305 MILWAUKEE, WI 53214 MILWAUKEE, WI 53211 (414) 476-0200 (414) 272-1286

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 50 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

D'LISA PATTERSON O.D. MYRON PRAEGER O.D. JOANNE RENTMEESTER ANNA SADLER O.D. HERSLOF OPTICIANS AURORA HEALTHCARE O.D. WISCONSIN VISION INC 411 E SILVER SPRING 7878 N 76TH STREET LENSCRAFTERS 301 N WATER ST MILWAUKEE, WI 53217 MILWAUKEE, WI 53223 5794 N BAYSHORE DR STE 350 (414) 962-1250 (414) 586-5710 Q 121 MILWAUKEE, WI 53202 MILWAUKEE, WI 53217 (414) 539-3524 (414) 967-7764 RICHARD PEARSON O.D. MYRON PRAEGER O.D. SPECS APPEAL AURORA HEALTHCARE ANNA SADLER O.D. 420 W SILVER SPRING DR 3003 W GOOD HOPE RD JOANNE RENTMEESTER WISCONSIN VISION INC O.D. MILWAUKEE, WI 53217 MILWAUKEE, WI 53209 1220 MILLER PARK WAY (414) 962-2020 (414) 352-3100 LENSCRAFTERS MILWAUKEE, WI 53214 5684 N CENTERPARK WAY (414) 476-0200 MILWAUKEE, WI 53217 MICHELLE PEDERSEN O.D. DANIEL PRIDEMORE O.D. (414) 962-2021 MILWAUKEE EYE CARE LENSCRAFTERS ANNA SADLER O.D. ASSOCIATES 4850 S 74TH ST WISCONSIN VISION INC ADAM ROSA O.D. 500 W BROWN DEER ROAD MILWAUKEE, WI 53220 5530 N PORT PREMIER VISION STE 110 (414) 282-3200 WASHINGTON RD MILWAUKEE, WI 53217 8693 N PORT UNIT C WASHINGTON RD (414) 271-2020 MILWAUKEE, WI 53217 MILWAUKEE, WI 53217 DANIEL PRIDEMORE O.D. (414) 897-0152 (414) 351-2020 LENSCRAFTERS MICHELLE PEDERSEN O.D. 5684 N CENTERPARK WAY MILWAUKEE EYE CARE MILWAUKEE, WI 53217 ANNA SADLER O.D. KENNETH ROSE O.D. ASSOCIATES (414) 962-2021 WISCONSIN VISION INC 1684 N PROSPECT AVE DESIGN VISION OPTICAL 1920 W LAYTON AVE 8720 W NORTH AVE MILWAUKEE, WI 53202 MILWAUKEE, WI 53221 MILWAUKEE, WI 53226 (414) 271-2020 DANIEL PRIDEMORE O.D. (414) 325-8600 (414) 774-0200 LENSCRAFTERS 5794 N BAYSHORE DR ERIC PEDERSEN O.D. Q 121 ANNA SADLER O.D. KENNETH ROSE O.D. PREMIER VISION MILWAUKEE, WI 53217 WISCONSIN VISION INC PARAMOUNT OPTICAL 8693 N PORT (414) 967-7764 4163 N OAKLAND AVE 6601 W OKLAHOMA AVE WASHINGTON RD MILWAUKEE, WI 53211 MILWAUKEE, WI 53217 MILWAUKEE, WI 53219 (414) 455-8131 (414) 351-2020 (414) 541-1190 EVERETTE QUINTON OPT. BRONZE OPTICAL LLC 1568 NORTH FARWELL ANNA SADLER O.D. KENNETH ROSE O.D. CHRISTINA PETROU O.D. AVENUE WISCONSIN VISION INC CHRISTINA PETROU MILWAUKEE, WI 53202 PARAMOUNT OPTICAL 1401 S 108TH ST HAEFS OD (414) 221-7055 6809 N GREENBAY AVE MILWAUKEE, WI 53214 7040 N PORT MILWAUKEE, WI 53209 (414) 476-0200 WASHINGTON RD (414) 228-9295 MILWAUKEE, WI 53217 ASHLEY RAK O.D. (414) 247-2020 LENSCRAFTERS ANNA SADLER O.D. BRIT RUIZ OPT. 5684 N CENTERPARK WAY WISCONSIN VISION INC TOWER OPTICAL MILWAUKEE, WI 53217 4818 S 76TH ST JENNIFER PILESKI- 2130 N MAYFAIR RD PERONA O.D. (414) 962-2021 STE 1 MILWAUKEE, WI 53226 LENSCRAFTERS MILWAUKEE, WI 53220 (414) 453-6500 4850 S 74TH ST (414) 431-0385 MILWAUKEE, WI 53220 ASHLEY RAK O.D. (414) 282-3200 LENSCRAFTERS 5794 N BAYSHORE DR Q 121 MILWAUKEE, WI 53217 (414) 967-7764

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 51 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

ANNA SADLER O.D. YOSEPH SARRAFZADEH KARL SCHWANDT O.D. PAYAL SHAH O.D. WISCONSIN VISION INC O.D. AMERICAS BEST LENSCRAFTERS 7528 W BURLEIGH ST WISCONSIN VISION INC 9074 N GREEN BAY RD 4850 S 74TH ST MILWAUKEE, WI 53210 1401 S 108TH ST MILWAUKEE, WI 53209 MILWAUKEE, WI 53220 (414) 873-9090 MILWAUKEE, WI 53214 (414) 214-7894 (414) 282-3200 (414) 476-0200

YOSEPH SARRAFZADEH KARL SCHWANDT O.D. JEFFREY SMITH O.D. O.D. YOSEPH SARRAFZADEH AMERICAS BEST AMERICAS BEST O.D. WISCONSIN VISION INC 4101 N 56TH ST 9074 N GREEN BAY RD 5530 N PORT WISCONSIN VISION INC MILWAUKEE, WI 53216 MILWAUKEE, WI 53209 WASHINGTON RD 4163 N OAKLAND AVE (414) 447-9403 (414) 214-7894 UNIT C MILWAUKEE, WI 53211 MILWAUKEE, WI 53217 (414) 455-8131 (414) 897-0152 CYNTHIA SEEMANN OPT. JEFFREY SMITH O.D. DESIGN VISION OPTICAL AMERICAS BEST GERARD SCHMITZ M.D. 8720 W NORTH AVE 4101 N 56TH ST YOSEPH SARRAFZADEH AURORA HEALTHCARE MILWAUKEE, WI 53226 MILWAUKEE, WI 53216 O.D. 7878 N 76TH STREET (414) 774-0200 (414) 447-9403 WISCONSIN VISION INC MILWAUKEE, WI 53223 4818 S 76TH ST (414) 586-5710 STE 1 MICHAEL SEPRISH O.D. MARK SPANKOWSKI O.D. MILWAUKEE, WI 53220 LENSCRAFTERS PARAMOUNT OPTICAL (414) 431-0385 VAUGN SCHNEIDER O.D. 5794 N BAYSHORE DR 6601 W OKLAHOMA AVE PREMIER VISION Q 121 MILWAUKEE, WI 53219 8693 N PORT MILWAUKEE, WI 53217 (414) 541-1190 YOSEPH SARRAFZADEH WASHINGTON RD (414) 967-7764 O.D. MILWAUKEE, WI 53217 WISCONSIN VISION INC (414) 351-2020 MARIA STECK O.D. 301 N WATER ST MICHAEL SEPRISH O.D. LENSCRAFTERS STE 350 LENSCRAFTERS 5684 N CENTERPARK WAY MILWAUKEE, WI 53202 JOHN SCHRODER O.D. 5684 N CENTERPARK WAY MILWAUKEE, WI 53217 (414) 539-3524 LENSCRAFTERS MILWAUKEE, WI 53217 (414) 962-2021 5684 N CENTERPARK WAY (414) 962-2021 MILWAUKEE, WI 53217 YOSEPH SARRAFZADEH (414) 962-2021 O.D. MARIA STECK O.D. WISCONSIN VISION INC MICHAEL SEPRISH O.D. LENSCRAFTERS LENSCRAFTERS 2500 N MAYFAIR RD 1220 MILLER PARK WAY JOHN SCHRODER O.D. 4850 S 74TH ST SP 800 MILWAUKEE, WI 53214 LENSCRAFTERS MILWAUKEE, WI 53220 MILWAUKEE, WI 53226 (414) 476-0200 5794 N BAYSHORE DR (414) 282-3200 (414) 453-2275 Q 121 MILWAUKEE, WI 53217 YOSEPH SARRAFZADEH (414) 967-7764 O.D. PAYAL SHAH O.D. MARIA STECK O.D. WISCONSIN VISION INC LENSCRAFTERS LENSCRAFTERS 7528 W BURLEIGH ST 5794 N BAYSHORE DR 5794 N BAYSHORE DR SCOTT SCHUMACHER O.D. MILWAUKEE, WI 53210 Q 121 Q 121 LENSCRAFTERS (414) 873-9090 MILWAUKEE, WI 53217 MILWAUKEE, WI 53217 4850 S 74TH ST (414) 967-7764 (414) 967-7764 MILWAUKEE, WI 53220 (414) 282-3200 YOSEPH SARRAFZADEH O.D. PAYAL SHAH O.D. MICHAEL STECK O.D. WISCONSIN VISION INC LENSCRAFTERS LENSCRAFTERS 1920 W LAYTON AVE 5684 N CENTERPARK WAY 2500 N MAYFAIR RD MILWAUKEE, WI 53221 MILWAUKEE, WI 53217 SP 800 (414) 325-8600 (414) 962-2021 MILWAUKEE, WI 53226 (414) 453-2275

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 52 of 79 MILWAUKEE MILWAUKEE MILWAUKEE MILWAUKEE

MACKENZIE SWARD M.D. MARK VETH O.D. ROBIN WILSON M.D. JOSEPH WILSON O.D. MILWAUKEE EYE CARE BE SPECTACLED MILWAUKEE EYE CARE WISCONSIN VISION INC ASSOCIATES 7605 HARWOOD AVE ASSOCIATES 1920 W LAYTON AVE 1684 N PROSPECT AVE MILWAUKEE, WI 53213 1684 N PROSPECT AVE MILWAUKEE, WI 53221 MILWAUKEE, WI 53202 (414) 453-1300 MILWAUKEE, WI 53202 (414) 325-8600 (414) 271-2020 (414) 271-2020

STEPHEN WACLAWSKI SARA WINKLER O.D. MACKENZIE SWARD M.D. O.D. JOSEPH WILSON O.D. WISCONSIN VISION INC MILWAUKEE EYE CARE GRANGE VISION CENTER WISCONSIN VISION INC 301 N WATER ST ASSOCIATES INC 301 N WATER ST STE 350 500 W BROWN DEER ROAD 5312 S 27 ST STE 350 MILWAUKEE, WI 53202 STE 110 MILWAUKEE, WI 53221 MILWAUKEE, WI 53202 (414) 539-3524 MILWAUKEE, WI 53217 (414) 281-4800 (414) 539-3524 (414) 271-2020 SARA WINKLER O.D. MICHAEL WACLAWSKI O.D. JOSEPH WILSON O.D. WISCONSIN VISION INC EMMYLOU SWARTZ O.D. GRANGE VISION CENTER WISCONSIN VISION INC 1220 MILLER PARK WAY INC DESIGN VISION OPTICAL 4818 S 76TH ST MILWAUKEE, WI 53214 5312 S 27 ST 8720 W NORTH AVE STE 1 (414) 476-0200 MILWAUKEE, WI 53226 MILWAUKEE, WI 53221 MILWAUKEE, WI 53220 (414) 774-0200 (414) 281-4800 (414) 431-0385 SARA WINKLER O.D. WISCONSIN VISION INC JOHN WEAVER O.D. SANDRINE TAGNI KOUNGA JOSEPH WILSON O.D. 1401 S 108TH ST O.D. LENSCRAFTERS WISCONSIN VISION INC MILWAUKEE, WI 53214 AMERICAS BEST 5794 N BAYSHORE DR 1401 S 108TH ST (414) 476-0200 4101 N 56TH ST Q 121 MILWAUKEE, WI 53214 MILWAUKEE, WI 53216 MILWAUKEE, WI 53217 (414) 476-0200 (414) 447-9403 (414) 967-7764 SARA WINKLER O.D. WISCONSIN VISION INC JOSEPH WILSON O.D. 4818 S 76TH ST SANDRINE TAGNI KOUNGA DAVID WEIS O.D. WISCONSIN VISION INC O.D. STE 1 MILWAUKEE EYE CARE 5530 N PORT AMERICAS BEST ASSOCIATES MILWAUKEE, WI 53220 WASHINGTON RD (414) 431-0385 9074 N GREEN BAY RD 500 W BROWN DEER ROAD UNIT C MILWAUKEE, WI 53209 STE 110 MILWAUKEE, WI 53217 (414) 214-7894 MILWAUKEE, WI 53217 (414) 897-0152 SARA WINKLER O.D. (414) 271-2020 WISCONSIN VISION INC MARY TECLAW O.D. 5530 N PORT JOSEPH WILSON O.D. WASHINGTON RD LENSCRAFTERS DAVID WEIS O.D. WISCONSIN VISION INC UNIT C 2500 N MAYFAIR RD MILWAUKEE EYE CARE 1220 MILLER PARK WAY ASSOCIATES MILWAUKEE, WI 53217 SP 800 MILWAUKEE, WI 53214 1684 N PROSPECT AVE (414) 897-0152 MILWAUKEE, WI 53226 (414) 476-0200 (414) 453-2275 MILWAUKEE, WI 53202 (414) 271-2020 SARA WINKLER O.D. JOSEPH WILSON O.D. WISCONSIN VISION INC ERIC TYLER O.D. WISCONSIN VISION INC 1920 W LAYTON AVE VISION CENTER AT MEIJER ROBIN WILSON M.D. 7528 W BURLEIGH ST MILWAUKEE, WI 53221 11111 W BURLEIGH ST MILWAUKEE EYE CARE ASSOCIATES MILWAUKEE, WI 53210 (414) 325-8600 MILWAUKEE, WI 53222 (414) 873-9090 (414) 778-0684 500 W BROWN DEER ROAD STE 110 MILWAUKEE, WI 53217 (414) 271-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 53 of 79 MILWAUKEE MILWAUKEE MINOCQUA MONROE

SARA WINKLER O.D. NICHOLAS ZAHN O.D. MARGARET COFFEN OPT. ALICJA FITZGERALD O.D. WISCONSIN VISION INC WISCONSIN VISION INC MINOCQUA OPTICAL SHOPKO EYE CARE 7528 W BURLEIGH ST 1920 W LAYTON AVE 8736 HIGHWAY 51 NORTH CENTER 4120 MILWAUKEE, WI 53210 MILWAUKEE, WI 53221 MINOCQUA, WI 54548 405 W 8TH ST (414) 873-9090 (414) 325-8600 (715) 356-5733 MONROE, WI 53566 (608) 328-3333

QIAN YANG O.D. NICHOLAS ZAHN O.D. LEE PURDY O.D. LENSCRAFTERS WISCONSIN VISION INC MINOCQUA OPTICAL JAMES HEALY O.D. 4850 S 74TH ST 1401 S 108TH ST 8736 HIGHWAY 51 NORTH MONROE FAMILY EYECARE MILWAUKEE, WI 53220 MILWAUKEE, WI 53214 MINOCQUA, WI 54548 1113 17TH AVE (414) 282-3200 (414) 476-0200 (715) 356-5733 MONROE, WI 53566 (608) 325-5606

QIAN YANG O.D. NICHOLAS ZAHN O.D. CHARLES VICKERS O.D. OPHTHALMOLOGY WISCONSIN VISION INC VICKERS EYE CARE PENNY IVERSON- ASSOCIATES SC 1220 MILLER PARK WAY 9815 HWY 70 WEST AMMERAAL O.D. 2500 W LAYTON AVE MILWAUKEE, WI 53214 STE 102 SHOPKO EYE CARE CENTER 4120 STE 110 (414) 476-0200 MINOCQUA, WI 54548 405 W 8TH ST MILWAUKEE, WI 53221 (715) 358-3937 (414) 281-0424 MONROE, WI 53566 (608) 328-3333 NICHOLAS ZAHN O.D. WISCONSIN VISION INC MONDOVI QIAN YANG O.D. 4163 N OAKLAND AVE JUSTIN JOHNSON O.D. PEARLE VISION MILWAUKEE, WI 53211 695 W SILVER SPRING DR TONY MORRIS O.D. SHOPKO EYE CARE (414) 455-8131 CENTER 4120 MILWAUKEE, WI 53217 MONDAVI EYE & OPTICAL 405 W 8TH ST (414) 961-6000 123 S EAU CLAIRE ST MONROE, WI 53566 KAELYN ZAPORSKI MONDOVI, WI 54755 (608) 328-3333 CUMMINGS O.D. (715) 926-4273 NICHOLAS ZAHN O.D. METRO EYE WISCONSIN VISION INC 325 E CHICAGO ST ANDREW JOSEPHS O.D. 4818 S 76TH ST MILWAUKEE, WI 53202 MONROE STATELINE VISION CENTER STE 1 (414) 727-5888 250 W 18TH AVE MILWAUKEE, WI 53220 BRIAN ADLER O.D. STE 105 (414) 431-0385 SHOPKO EYE CARE MONROE, WI 53566 KRISTEN ZIEGLER O.D. CENTER 4120 (608) 325-7200 PREMIER VISION 405 W 8TH ST NICHOLAS ZAHN O.D. 8693 N PORT MONROE, WI 53566 WISCONSIN VISION INC WASHINGTON RD (608) 328-3333 JESSAMYN KOVACS O.D. 7528 W BURLEIGH ST MILWAUKEE, WI 53217 (414) 351-2020 SHOPKO EYE CARE MILWAUKEE, WI 53210 CENTER 4120 (414) 873-9090 DAVID ANDERSON O.D. 405 W 8TH ST SHOPKO EYE CARE MONROE, WI 53566 RICHARD ZIMMERMAN O.D. CENTER 4120 (608) 328-3333 NICHOLAS ZAHN O.D. LENSCRAFTERS 405 W 8TH ST WISCONSIN VISION INC 4850 S 74TH ST MONROE, WI 53566 MILWAUKEE, WI 53220 301 N WATER ST (608) 328-3333 KRISTIN MOSEMAN O.D. (414) 282-3200 STE 350 SHOPKO EYE CARE MILWAUKEE, WI 53202 CENTER 4120 (414) 539-3524 MEGAN DRAPER O.D. 405 W 8TH ST SHOPKO EYE CARE MONROE, WI 53566 CENTER 4120 (608) 328-3333 405 W 8TH ST MONROE, WI 53566 (608) 328-3333

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 54 of 79 MONROE MUKWONAGO NEENAH NEENAH

SHOPKO OPTICAL 4120 NICHOLAS BOWEN O.D. NATHAN FORST O.D. RICHARD ROWE O.D. OPT. FAMILY VISION & CL CTR SHOPKO EYE CARE SHOPKO EYE CARE SHOPKO EYE CARE 920 GREENWALD CT CENTER 4100 CENTER 4100 CENTER 4120 STE 300 699 GREEN BAY RD 699 GREEN BAY RD 405 W 8TH ST MUKWONAGO, WI 53149 NEENAH, WI 54956 NEENAH, WI 54956 MONROE, WI 53566 (262) 363-1717 (920) 751-0275 (920) 751-0275 (608) 328-3333

ROBERT FAIT O.D. CRAIG KELLER O.D. CORY RUED O.D. JEAN SCHEMENAUER O.D. FAMILY VISION & CL CTR SHOPKO EYE CARE VALLEY VISION CLINIC SHOPKO EYE CARE 920 GREENWALD CT CENTER 4100 1513 S COMMERCIAL ST CENTER 4120 STE 300 699 GREEN BAY RD NEENAH, WI 54956 405 W 8TH ST MUKWONAGO, WI 53149 NEENAH, WI 54956 (920) 725-1566 MONROE, WI 53566 (262) 363-1717 (920) 751-0275 (608) 328-3333 DAVID SLAGOWSKI O.D. KEVIN HARRY O.D. KYLE KLIKA O.D. SHOPKO EYE CARE CHAD SLAGLE O.D. FAMILY VISION & CL CTR SHOPKO EYE CARE CENTER 4100 SHOPKO EYE CARE CENTER 4100 920 GREENWALD CT 699 GREEN BAY RD CENTER 4120 699 GREEN BAY RD STE 300 NEENAH, WI 54956 405 W 8TH ST NEENAH, WI 54956 MUKWONAGO, WI 53149 (920) 751-0275 MONROE, WI 53566 (920) 751-0275 (608) 328-3333 (262) 363-1717 LAWRENCE SMITH O.D. CARIN LACOUNT O.D. TIMOTHY HELL O.D. SHOPKO EYE CARE CHRISTINE WARD O.D. SHOPKO EYE CARE CENTER 4100 FAMILY VISION & CL CTR SHOPKO EYE CARE CENTER 4100 699 GREEN BAY RD 920 GREENWALD CT CENTER 4120 699 GREEN BAY RD NEENAH, WI 54956 STE 300 405 W 8TH ST NEENAH, WI 54956 (920) 751-0275 MONROE, WI 53566 MUKWONAGO, WI 53149 (920) 751-0275 (608) 328-3333 (262) 363-1717 MICHAEL STEVENSON O.D. CATHERINE LOUGHRIN SHOPKO EYE CARE MOSINEE JON MCKINNEY O.D. O.D. CENTER 4100 FAMILY VISION & CL CTR SHOPKO EYE CARE 699 GREEN BAY RD 920 GREENWALD CT CENTER 4100 NEENAH, WI 54956 KATHI LEACH O.D. STE 300 699 GREEN BAY RD (920) 751-0275 DR KATHI LEACH MUKWONAGO, WI 53149 NEENAH, WI 54956 OPTOMETRIST (262) 363-1717 (920) 751-0275 412 3RD ST GARY TACKMAN O.D. MOSINEE, WI 54455 (715) 693-2400 SHOPKO EYE CARE STEPHEN WAGNER M.D. MICHAEL MISKULIN O.D. CENTER 4100 STEPHEN P WAGNER MD VALLEY VISION CLINIC 699 GREEN BAY RD 305 EAGLE LAKE AVE 1513 S COMMERCIAL ST MOUNT HOREB NEENAH, WI 54956 MUKWONAGO, WI 53149 NEENAH, WI 54956 (920) 751-0275 (262) 363-7763 (920) 725-1566 STEVEN SAMUELSON O.D. SAMUELSON EYECARE KRISTIE THIEME O.D. MUSKEGO 428 W MAIN ST SHOPKO OPTICAL 4100 SHOPKO EYE CARE OPT. MOUNT HOREB, WI 53572 CENTER 4100 SHOPKO EYE CARE 699 GREEN BAY RD (608) 437-3377 DANIEL DEWINTER O.D. CENTER 4100 NEENAH, WI 54956 DEWINTER EYE CARE CTR 699 GREEN BAY RD (920) 751-0275 S75W17475 JANESVILLE RD NEENAH, WI 54956 LAUREN TA O.D. MUSKEGO, WI 53150 (920) 751-0275 SAMUELSON EYECARE (262) 679-1420 428 W MAIN ST MOUNT HOREB, WI 53572 (608) 437-3377

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 55 of 79 NEENAH NEW BERLIN NEW BERLIN NEW BERLIN

RANDY WILD O.D. RYAN LANG O.D. HERSLOF OPTICIANS OPT. DAVE ZIEGLER O.D. RANDY J WILD LANG FAMILY EYE CARE HERSLOF OPTICIANS ZIEGLER & LEFFINGWELL 1111 MAPLE 15855 W NATIONAL AVE 3556 SOUTH MOORLAND EYECARE NEENAH, WI 54956 STE 101 RD 14151 W NATIONAL AVE (920) 722-7411 NEW BERLIN, WI 53151 NEW BERLIN, WI 53151 NEW BERLIN, WI 53151 (262) 923-7073 (262) 786-8860 (414) 541-2100

NEILLSVILLE LAURA LANG O.D. KELLY SCHERMEISTER KRISTEN ZIEGLER O.D. O.D. LANG FAMILY EYE CARE ZIEGLER & LEFFINGWELL MARK HANSON O.D. 15855 W NATIONAL AVE EYE SITE VISION CARE EYECARE ART OF OPTOMETRY CENTER STE 101 14151 W NATIONAL AVE 501 HEWITT ST 15441 W NATIONAL AVE NEW BERLIN, WI 53151 NEW BERLIN, WI 53151 NEILLSVILLE, WI 54456 NEW BERLIN, WI 53151 (262) 923-7073 (414) 541-2100 (715) 819-1096 (262) 789-6929

NEW HOLSTEIN H LEFFINGWELL O.D. LAURA SCHROEDER O.D. ANDREA STAHULAK M.D. ZIEGLER & LEFFINGWELL MOORLAND RESERVE ART OF OPTOMETRY EYECARE HEALTH CENTER JENNIFER ALVAREZ O.D. 501 HEWITT ST 14151 W NATIONAL AVE 4805 S MOORLAND RD NEW HOLSTEIN FAMILY NEILLSVILLE, WI 54456 NEW BERLIN, WI 53151 NEW BERLIN, WI 53151 EYE CARE (715) 819-1096 (414) 541-2100 (262) 798-7200 1405 MILWAUKEE DR NEW HOLSTEIN, WI 53061 (920) 894-2727 NEW BERLIN HART MOSS M.D. TIMOTHY WELLS M.D. OPHTHALMOLOGY MOORLAND RESERVE ASSOCIATES SC THOMAS CONNOR M.D. HEALTH CENTER SARA FALTER O.D. 14555 W NATIONAL AVE MOORLAND RESERVE 4805 S MOORLAND RD NEW HOLSTEIN FAMILY NEW BERLIN, WI 53151 HEALTH CENTER NEW BERLIN, WI 53151 EYE CARE (262) 784-3937 4805 S MOORLAND RD (262) 798-7200 1405 MILWAUKEE DR NEW BERLIN, WI 53151 NEW HOLSTEIN, WI 53061 (262) 798-7200 (920) 894-2727 THOMAS MOTISI O.D. GEOFFREY WILKES M.D. EYE SITE VISION CARE MOORLAND RESERVE CENTER JACLYN GARLICH O.D. HEALTH CENTER AARON GRUBER O.D. 15441 W NATIONAL AVE OPHTHALMOLOGY 4805 S MOORLAND RD NEW HOLSTEIN FAMILY NEW BERLIN, WI 53151 ASSOCIATES SC NEW BERLIN, WI 53151 EYE CARE (262) 789-6929 14555 W NATIONAL AVE (262) 798-7200 1405 MILWAUKEE DR NEW BERLIN, WI 53151 NEW HOLSTEIN, WI 53061 (262) 784-3937 (920) 894-2727 HEATHER MOTISI O.D. TODD YACKELS O.D. EYE SITE VISION CARE TARGET OPTICAL CENTER GREGORY GRIEPENTROG 4798 S MOORLAND RD CHERYL ROERS O.D. 15441 W NATIONAL AVE M.D. NEW BERLIN, WI 53151 NEW HOLSTEIN FAMILY NEW BERLIN, WI 53151 EYE CARE MOORLAND RESERVE (262) 207-0023 HEALTH CENTER (262) 789-6929 1405 MILWAUKEE DR 4805 S MOORLAND RD NEW HOLSTEIN, WI 53061 NEW BERLIN, WI 53151 QIAN YANG O.D. (920) 894-2727 TARGET OPTICAL OPT. (262) 798-7200 OPHTHALMOLOGY TARGET OPTICAL ASSOCIATES SC 4798 S MOORLAND RD 14555 W NATIONAL AVE DAVID VANDERLOOP O.D. NEW BERLIN, WI 53151 PAUL HERZFELD O.D. NEW BERLIN, WI 53151 NEW HOLSTEIN FAMILY (262) 207-0023 EYE CARE HERSLOF OPTICIANS (262) 784-3937 3556 SOUTH MOORLAND 1405 MILWAUKEE DR RD NEW HOLSTEIN, WI 53061 NEW BERLIN, WI 53151 (920) 894-2727 (262) 786-8860

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 56 of 79 NEW LONDON OAK CREEK OAK CREEK OAK CREEK

MOLLY BENCK O.D. NICHOLAS BOWEN O.D. TYLER LEE O.D. KATHRYN MUELLER O.D. GRIEBENOW EYECARE FAMILY VISION AMERICAS BEST PEARLE VISION 105 NORTHRIDGE DR 8469 S HOWELL 8661 S HOWELL RD 8907 HOWELL AVE NEW LONDON, WI 54961 OAK CREEK, WI 53154 STE 200 STE 600 (920) 982-3711 (414) 768-0110 OAK CREEK, WI 53154 OAK CREEK, WI 53154 (414) 847-0164 (414) 764-2651

KERRY GRIEBENOW O.D. VINCENT FACCHIANO O.D. GRIEBENOW EYECARE PEARLE VISION ROBERT MAHONEY O.D. SNEZHANA SABO O.D. 105 NORTHRIDGE DR 8907 HOWELL AVE VISION CENTER AT MEIJER AMERICAS BEST NEW LONDON, WI 54961 STE 600 171 W TOWN SQUARE 8661 S HOWELL RD (920) 982-3711 OAK CREEK, WI 53154 OAK CREEK, WI 53154 STE 200 (414) 764-2651 (414) 764-1416 OAK CREEK, WI 53154 (414) 847-0164 CRAIG SYLTE O.D. GRIEBENOW EYECARE ROBERT FAIT O.D. TONY MATUSZAK O.D. 105 NORTHRIDGE DR FAMILY VISION AMERICAS BEST ZAINAB SADDIQ O.D. NEW LONDON, WI 54961 8469 S HOWELL 8661 S HOWELL RD AMERICAS BEST (920) 982-3711 OAK CREEK, WI 53154 STE 200 8661 S HOWELL RD (414) 768-0110 OAK CREEK, WI 53154 STE 200 (414) 847-0164 OAK CREEK, WI 53154 NEW RICHMOND (414) 847-0164 JANICE FAN O.D. PEARLE VISION JON MCKINNEY O.D. LAUREN JORDAN O.D. 8907 HOWELL AVE FAMILY VISION KARL SCHWANDT O.D. ANDOVER FAMILY STE 600 8469 S HOWELL AMERICAS BEST EYECARE OAK CREEK, WI 53154 OAK CREEK, WI 53154 8661 S HOWELL RD 302 S KNOWLES AVE (414) 764-2651 (414) 768-0110 STE 200 NEW RICHMOND, WI 54017 OAK CREEK, WI 53154 (715) 246-2419 (414) 847-0164 KEVIN HARRY O.D. VISION CENTER MEIJER FAMILY VISION OPT. JEFFREY WILLIAMS O.D. 8469 S HOWELL VISION CENTER AT MEIJER JEFFREY SMITH O.D. ANDOVER FAMILY 171 W TOWN SQUARE EYECARE OAK CREEK, WI 53154 AMERICAS BEST OAK CREEK, WI 53154 302 S KNOWLES AVE (414) 768-0110 8661 S HOWELL RD (414) 764-1416 NEW RICHMOND, WI 54017 STE 200 (715) 246-2419 OAK CREEK, WI 53154 TIMOTHY HELL O.D. (414) 847-0164 FAMILY VISION MICHAEL MLYNSKI O.D. OAK CREEK 8469 S HOWELL AMERICAS BEST OAK CREEK, WI 53154 8661 S HOWELL RD SANDRINE TAGNI KOUNGA (414) 768-0110 STE 200 O.D. AMERICAS BEST OPT. OAK CREEK, WI 53154 AMERICAS BEST AMERICAS BEST (414) 847-0164 8661 S HOWELL RD 8661 S HOWELL RD PAUL HERZFELD O.D. STE 200 STE 200 VISION MART OAK CREEK, WI 53154 OAK CREEK, WI 53154 8770 S HOWELL AVE HILLARY MORROW O.D. (414) 847-0164 (414) 847-0164 OAK CREEK, WI 53154 AMERICAS BEST (414) 571-9800 8661 S HOWELL RD STE 200 ERIC TYLER O.D. NIM BHAVSAR O.D. OAK CREEK, WI 53154 VISION CENTER AT MEIJER AMERICAS BEST MARK KONYN O.D. (414) 847-0164 171 W TOWN SQUARE 8661 S HOWELL RD AMERICAS BEST OAK CREEK, WI 53154 STE 200 8661 S HOWELL RD (414) 764-1416 OAK CREEK, WI 53154 STE 200 (414) 847-0164 OAK CREEK, WI 53154 (414) 847-0164

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 57 of 79 OAK CREEK OCONOMOWOC OCONOMOWOC OCONOMOWOC

JENNIFER UNGER M.D. MARY ELLIS M.D. AARON HOLTEBECK M.D. RANDY PRESTASH O.D. EYE CARE MIDWEST AURORA HEALTHCARE DR AARON HOLTEBECK SUMMIT EYE CLINIC 7001 S HOWELL AVE 36500 AURORA DR MD 608 SUMMIT AVE STE 300 STE 130 1185 CORPORATE CENTER OCONOMOWOC, WI 53066 OAK CREEK, WI 53154 OCONOMOWOC, WI 53066 DR (262) 567-6565 (414) 570-2020 (262) 434-5000 STE 210 OCONOMOWOC, WI 53066 (262) 560-4224 SPENCER ROGERS M.D. OCONOMOWOC AURORA HEALTHCARE AURORA HEALTHCARE OPT. 36500 AURORA DR AURORA HEALTHCARE JOHN JENNINGS O.D. STE 130 AMBER BARTELS O.D. 36500 AURORA DR DR AARON HOLTEBECK OCONOMOWOC, WI 53066 PRIMARY EYECARE MD STE 130 (262) 434-5000 ASSOC EYEWEAR OCONOMOWOC, WI 53066 1185 CORPORATE CENTER 1280 SUMMIT AVE DR (262) 434-5000 OCONOMOWOC, WI 53066 STE 210 MARK SPANKOWSKI O.D. (262) 567-3214 OCONOMOWOC, WI 53066 SUMMIT EYE CLINIC (262) 560-4224 JOSHUA HEINECKE O.D. 608 SUMMIT AVE PRIMARY EYECARE OCONOMOWOC, WI 53066 DAVID BJORK O.D. ASSOC EYEWEAR (262) 567-6565 OCONOMOWOCK VISION 1280 SUMMIT AVE NORAH KHANGURA M.D. CLINIC OCONOMOWOC, WI 53066 AURORA HEALTHCARE 1674 OLD SCHOOL HOUSE 36500 AURORA DR (262) 567-3214 OCONTO RD STE 130 STE 100 OCONOMOWOC, WI 53066 OCONOMOWOC, WI 53066 DESIREE HERRON O.D. (262) 434-5000 ERIN DAGGETT O.D. (262) 567-2295 OCONOMOWOCK VISION SHOPKO EYE CARE CLINIC CENTER 602 1674 OLD SCHOOL HOUSE THOMAS MARSH O.D. 126 CHARLES ST ERIK BJORK O.D. RD PRIMARY EYECARE OCONTO, WI 54153 OCONOMOWOCK VISION STE 100 ASSOC EYEWEAR (920) 834-5251 CLINIC OCONOMOWOC, WI 53066 1280 SUMMIT AVE 1674 OLD SCHOOL HOUSE (262) 567-2295 OCONOMOWOC, WI 53066 RD (262) 567-3214 CRAIG KELLER O.D. STE 100 SHOPKO EYE CARE OCONOMOWOC, WI 53066 DESIREE HERRON O.D. CENTER 602 (262) 567-2295 SUMMIT EYE CLINIC DANA MCGUIRE O.D. 126 CHARLES ST 608 SUMMIT AVE HERSLOF OPTICIANS OCONTO, WI 54153 OCONOMOWOC, WI 53066 888 THACKERAY TRAIL (920) 834-5251 CHRISTIAN CAMUS O.D. (262) 567-6565 OCONOMOWOC, WI 53066 AURORA HEALTHCARE (262) 567-2581 36500 AURORA DR CARIN LACOUNT O.D. STE 130 PAUL HERZFELD O.D. SHOPKO EYE CARE OCONOMOWOC, WI 53066 HERSLOF OPTICIANS DANA MCGUIRE O.D. CENTER 602 (262) 434-5000 888 THACKERAY TRAIL SUMMIT EYE CLINIC 126 CHARLES ST OCONOMOWOC, WI 53066 608 SUMMIT AVE OCONTO, WI 54153 (262) 567-2581 OCONOMOWOC, WI 53066 (920) 834-5251 JOSEPHINE-LIEZL CUETO (262) 567-6565 M.D. AURORA HEALTHCARE JENNIFER HILLMANN O.D. DAVID LIEBURN O.D. 36500 AURORA DR HERSLOF OPTICIANS OPT. SHOPKO EYE CARE STE 130 PRIMARY EYECARE ASSOC EYEWEAR HERSLOF OPTICIANS CENTER 602 OCONOMOWOC, WI 53066 1280 SUMMIT AVE 888 THACKERAY TRAIL 126 CHARLES ST (262) 434-5000 OCONOMOWOC, WI 53066 OCONOMOWOC, WI 53066 OCONTO, WI 54153 (262) 567-3214 (262) 567-2581 (920) 834-5251

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 58 of 79 OCONTO ONALASKA OSCEOLA OSHKOSH

CYNTHIA MALVITZ- COLLEEN KONKEL O.D. BRIAN SMITH O.D. JEFFREY CHRISTIANSON OVERLY O.D. SHOPKO EYE CARE OSCEOLA FAMILY O.D. SHOPKO EYE CARE CENTER 4099 EYECARE WISCONSIN VISION INC CENTER 602 9366 STATE HWY 16 304 3RD AVE 1510 S KOELLER RD 126 CHARLES ST ONALASKA, WI 54650 OSCEOLA, WI 54020 OSHKOSH, WI 54902 OCONTO, WI 54153 (608) 781-2010 (715) 294-2500 (920) 235-7789 (920) 834-5251

STEVE NEYENS O.D. APRIL SMITH O.D. COLLEEN CORBETT M.D. SHOPKO OPTICAL 602 SHOPKO EYE CARE OSCEOLA FAMILY VALLEY EYE ASSOCIATES SHOPKO EYE CARE CENTER 4099 EYECARE 719 DOCTORS CT CENTER 602 9366 STATE HWY 16 304 3RD AVE OSHKOSH, WI 54901 126 CHARLES ST ONALASKA, WI 54650 OSCEOLA, WI 54020 (920) 235-0066 OCONTO, WI 54153 (608) 781-2010 (715) 294-2500 (920) 834-5251 BARBARA CRITCHLEY OPT. SHOPKO OPTICAL 4099 OSHKOSH PARK PLACE OPTICAL LTD GARY TACKMAN O.D. OPT. 719 DOCTORS CT SHOPKO EYE CARE SHOPKO EYE CARE OSHKOSH, WI 54901 CENTER 602 CENTER 4099 NICOLE AMIDON O.D. (920) 651-3100 126 CHARLES ST 9366 STATE HWY 16 WISCONSIN VISION INC OCONTO, WI 54153 ONALASKA, WI 54650 1510 S KOELLER RD (920) 834-5251 (608) 781-2010 OSHKOSH, WI 54902 PAUL DALECKY O.D. (920) 235-7789 WISCONSIN VISION INC 1510 S KOELLER RD OMRO KENT SUMMERFIELD O.D. OSHKOSH, WI 54902 SUMMERFIELD FAMILY JILL ANDERSON O.D. (920) 235-7789 EYE CLINIC DR JILL ANDERSON & RUTH WEBER O.D. 201 SAND LAKE RD ASSOCIATES WEBER EYECARE LLC ONALASKA, WI 54650 422 N MAIN ST CYNTHIA DECKER-RIDDLE 100 W MAIN ST (608) 782-7300 OSHKOSH, WI 54901 O.D. OMRO, WI 54963 (920) 235-8500 WISCONSIN VISION INC (920) 685-2020 OREGON 1510 S KOELLER RD OSHKOSH, WI 54902 DONNA BELANGER O.D. (920) 235-7789 ONALASKA WISCONSIN VISION INC CALLIE ENYART O.D. 1510 S KOELLER RD DRS JAMES & ENYART OSHKOSH, WI 54902 MEGAN BARBOT-SMITH 185 W NETHERWOOD ST DEAN DELWICHE O.D. O.D. (920) 235-7789 OREGON, WI 53575 STELLAR VISION SHOPKO EYE CARE (608) 835-3579 358 S KOELLER ST CENTER 4099 OSHKOSH, WI 54902 9366 STATE HWY 16 GARRY BROWN O.D. (920) 233-0005 ONALASKA, WI 54650 VALLEY EYE ASSOCIATES DAVID JAMES O.D. (608) 781-2010 719 DOCTORS CT DRS JAMES & ENYART OSHKOSH, WI 54901 DEAN DELWICHE O.D. 185 W NETHERWOOD ST (920) 235-0066 OREGON, WI 53575 VALLEY EYE ASSOCIATES THOMAS DAHLBY O.D. (608) 835-3579 719 DOCTORS CT SHOPKO EYE CARE OSHKOSH, WI 54901 CENTER 4099 GARY BURKHARDT O.D. (920) 235-0066 9366 STATE HWY 16 STELLAR VISION MAX MELBERG O.D. ONALASKA, WI 54650 358 S KOELLER ST (608) 781-2010 DRS JAMES & ENYART OSHKOSH, WI 54902 THOMAS ELSON O.D. 185 W NETHERWOOD ST (920) 233-0005 OREGON, WI 53575 WISCONSIN VISION INC (608) 835-3579 1510 S KOELLER RD OSHKOSH, WI 54902 (920) 235-7789

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 59 of 79 OSHKOSH OSHKOSH OSHKOSH OSHKOSH

LYNDA ENEMUOH O.D. KYLE KLIKA O.D. SHOPKO OPTICAL 4042 MICHAEL STEVENSON O.D. WISCONSIN VISION INC SHOPKO EYE CARE OPT. SHOPKO EYE CARE 1510 S KOELLER RD CENTER 4042 SHOPKO EYE CARE CENTER 4042 OSHKOSH, WI 54902 1300 S KOELLER RD CENTER 4042 1300 S KOELLER RD (920) 235-7789 OSHKOSH, WI 54901 1300 S KOELLER RD OSHKOSH, WI 54901 (920) 426-5730 OSHKOSH, WI 54901 (920) 426-5730 (920) 426-5730 KRISTINE EVANS O.D. WISCONSIN VISION INC ANNA KOECK O.D. KRISTIE THIEME O.D. THERESA PETRICK O.D. 1510 S KOELLER RD WISCONSIN VISION INC SHOPKO EYE CARE OSHKOSH, WI 54902 1510 S KOELLER RD SHOPKO EYE CARE CENTER 4042 CENTER 4042 (920) 235-7789 OSHKOSH, WI 54902 1300 S KOELLER RD (920) 235-7789 1300 S KOELLER RD OSHKOSH, WI 54901 OSHKOSH, WI 54901 (920) 426-5730 (920) 426-5730 NATHAN FORST O.D. SHOPKO EYE CARE CARIN LACOUNT O.D. CENTER 4042 SHOPKO EYE CARE RICHARD TOELLNER O.D. LAURA RAU O.D. 1300 S KOELLER RD CENTER 4042 SHOPKO EYE CARE OSHKOSH, WI 54901 1300 S KOELLER RD SHOPKO EYE CARE CENTER 4042 CENTER 4042 (920) 426-5730 OSHKOSH, WI 54901 1300 S KOELLER RD (920) 426-5730 1300 S KOELLER RD OSHKOSH, WI 54901 OSHKOSH, WI 54901 (920) 426-5730 (920) 426-5730 MARVIN HALL M.D. VALLEY EYE ASSOCIATES CATHERINE LOUGHRIN O.D. 719 DOCTORS CT AMY TREICHEL-BRANDT RICHARD ROWE O.D. O.D. OSHKOSH, WI 54901 SHOPKO EYE CARE CENTER 4042 SHOPKO EYE CARE AURORA HEALTHCARE (920) 235-0066 1300 S KOELLER RD CENTER 4042 700 N WESTHAVEN DR OSHKOSH, WI 54901 1300 S KOELLER RD OSHKOSH, WI 54904 (920) 426-5730 OSHKOSH, WI 54901 (920) 456-2002 AURORA HEALTHCARE (920) 426-5730 OPT. AURORA HEALTHCARE 700 N WESTHAVEN DR ROBERT MATHAUS O.D. SANDRA VERHAEGHE O.D. DONALD RUCK O.D. OSHKOSH, WI 54904 WISCONSIN VISION INC AURORA HEALTHCARE OSHKOSH OPTICAL CTR (920) 456-2002 1510 S KOELLER RD 700 N WESTHAVEN DR OSHKOSH, WI 54902 511 W MURDOCK AVE OSHKOSH, WI 54904 (920) 235-7789 OSHKOSH, WI 54901 (920) 456-2002 (920) 233-7825 GREGORY HUBERTUS O.D. WISCONSIN VISION INC 1510 S KOELLER RD ELIZABETH MELCHERT STELLAR VISION OPT. O.D. YOSEPH SARRAFZADEH OSHKOSH, WI 54902 STELLAR VISION VALLEY EYE ASSOCIATES O.D. (920) 235-7789 358 S KOELLER ST 719 DOCTORS CT WISCONSIN VISION INC OSHKOSH, WI 54902 OSHKOSH, WI 54901 1510 S KOELLER RD (920) 233-0005 (920) 235-0066 OSHKOSH, WI 54902 GREG JENSEN O.D. (920) 235-7789 DR GREG JENSEN 422 N MAIN ST JOSEPH WILSON O.D. MICHELLE MUELLER O.D. OSHKOSH, WI 54901 WISCONSIN VISION INC SHOPKO EYE CARE DAVID SLAGOWSKI O.D. (920) 235-8500 1510 S KOELLER RD CENTER 4042 SHOPKO EYE CARE OSHKOSH, WI 54902 CENTER 4042 1300 S KOELLER RD (920) 235-7789 OSHKOSH, WI 54901 1300 S KOELLER RD CRAIG KELLER O.D. (920) 426-5730 OSHKOSH, WI 54901 SHOPKO EYE CARE (920) 426-5730 CENTER 4042 SARA WINKLER O.D. 1300 S KOELLER RD WISCONSIN VISION INC OSHKOSH, WI 54901 1510 S KOELLER RD (920) 426-5730 OSHKOSH, WI 54902 (920) 235-7789

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 60 of 79 PEWAUKEE PEWAUKEE PEWAUKEE PEWAUKEE

NICOLE AMIDON O.D. LYNDA ENEMUOH O.D. ROBERT MATHAUS O.D. CHRISTOPHER WINTER WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC O.D. 2005 SILVERNAIL RD 2005 SILVERNAIL RD 2005 SILVERNAIL RD NEOVISION OPTICAL PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 690 WESTFIELD WAY (262) 436-0884 (262) 436-0884 (262) 436-0884 STE J PEWAUKEE, WI 53072 (262) 691-7720 DONNA BELANGER O.D. KRISTINE EVANS O.D. DANA MCGUIRE O.D. WISCONSIN VISION INC WISCONSIN VISION INC HERSLOF OPTICIANS 2005 SILVERNAIL RD 2005 SILVERNAIL RD 1300 CAPITOL DRIVE NICHOLAS ZAHN O.D. PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 WISCONSIN VISION INC (262) 436-0884 (262) 436-0884 (262) 691-2929 2005 SILVERNAIL RD PEWAUKEE, WI 53072 (262) 436-0884 ERIK BJORK O.D. DESIREE HERRON O.D. ROBERT MEYER O.D. PEWAUKEE VISION PEWAUKEE VISION WISCONSIN VISION INC 2315 SILVERNAIL RD 2315 SILVERNAIL RD 2005 SILVERNAIL RD PHILLIPS PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 (262) 521-9383 (262) 521-9383 (262) 436-0884 BRITTANY LEMKE O.D. NORTHERN SIGHT VISION CLINIC DAVID BJORK O.D. PAUL HERZFELD O.D. HERSLOF OPTICIANS OPT. 104A NORTH ARGYLE AVE PEWAUKEE VISION HERSLOF OPTICIANS HERSLOF OPTICIANS PHILLIPS, WI 54555 2315 SILVERNAIL RD 1300 CAPITOL DRIVE 1300 CAPITOL DRIVE (715) 339-2040 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 (262) 521-9383 (262) 691-2929 (262) 691-2929 JESSICA STROMBERG O.D. NORTHERN SIGHT VISION JEFFREY CHRISTIANSON GREGORY HUBERTUS O.D. ANNA SADLER O.D. CLINIC O.D. WISCONSIN VISION INC WISCONSIN VISION INC 104A NORTH ARGYLE AVE WISCONSIN VISION INC 2005 SILVERNAIL RD 2005 SILVERNAIL RD PHILLIPS, WI 54555 2005 SILVERNAIL RD PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 (715) 339-2040 PEWAUKEE, WI 53072 (262) 436-0884 (262) 436-0884 (262) 436-0884 PLOVER JEREMY KEMMERLING O.D. YOSEPH SARRAFZADEH PAUL DALECKY O.D. WISCONSIN VISION INC O.D. WISCONSIN VISION INC 2005 SILVERNAIL RD WISCONSIN VISION INC SCOTT BRUNEAU O.D. 2005 SILVERNAIL RD PEWAUKEE, WI 53072 2005 SILVERNAIL RD SHOPKO EYE CARE CENTER 4171 PEWAUKEE, WI 53072 (262) 436-0884 PEWAUKEE, WI 53072 (262) 436-0884 (262) 436-0884 1800 PLOVER RD PLOVER, WI 54467 LOGAN KIEKHAFER O.D. (715) 342-9634 CYNTHIA DECKER-RIDDLE WISCONSIN VISION INC JOSEPH WILSON O.D. O.D. 2005 SILVERNAIL RD WISCONSIN VISION INC ERIN DAGGETT O.D. WISCONSIN VISION INC PEWAUKEE, WI 53072 2005 SILVERNAIL RD 2005 SILVERNAIL RD SHOPKO EYE CARE (262) 436-0884 PEWAUKEE, WI 53072 CENTER 4171 PEWAUKEE, WI 53072 (262) 436-0884 (262) 436-0884 1800 PLOVER RD PLOVER, WI 54467 ANNA KOECK O.D. (715) 342-9634 WISCONSIN VISION INC SARA WINKLER O.D. THOMAS ELSON O.D. 2005 SILVERNAIL RD WISCONSIN VISION INC WISCONSIN VISION INC PEWAUKEE, WI 53072 2005 SILVERNAIL RD 2005 SILVERNAIL RD (262) 436-0884 PEWAUKEE, WI 53072 PEWAUKEE, WI 53072 (262) 436-0884 (262) 436-0884

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 61 of 79 PLOVER PLYMOUTH PORT PRINCETON WASHINGTON

MARC FREDERIKSEN O.D. H LEFFINGWELL O.D. EDWARD BRAZA M.D. MICHEAL GERBER O.D. SHOPKO EYE CARE AURORA HEALTHCARE AURORA HEALTHCARE BERLIN FAMILY EYE CARE CENTER 4171 2600 KILEY WAY 1777 WEST GRAND AVE 100 E MAIN ST 1800 PLOVER RD PLYMOUTH, WI 53073 PORT WASHINGTON, WI STE B PLOVER, WI 54467 (920) 449-7130 53074 PRINCETON, WI 54968 (715) 342-9634 (262) 284-3456 (920) 295-3880

SHARON ROBERTS O.D. COLLEEN HENNELLY O.D. 20 20 VISIONS LLC SARA FALTER O.D. TAMMI SAWALLISH O.D. SHOPKO EYE CARE 100 CARR RD EYEQ OPTICAL BERLIN FAMILY EYE CARE CENTER 4171 PO BOX 600 309 N FRANKLIN ST 100 E MAIN ST 1800 PLOVER RD PLYMOUTH, WI 53073 PORT WASHINGTON, WI STE B 53074 PLOVER, WI 54467 (920) 893-3937 PRINCETON, WI 54968 (715) 342-9634 (262) 261-5252 (920) 295-3880

STEVEN SHIRCEL O.D. AURORA HEALTHCARE SHOPKO OPTICAL 4171 AURORA HEALTHCARE RACINE OPT. OPT. 2600 KILEY WAY SHOPKO EYE CARE AURORA HEALTHCARE PLYMOUTH, WI 53073 CENTER 4171 1777 WEST GRAND AVE BRIAN ADLER O.D. (920) 449-7130 1800 PLOVER RD PORT WASHINGTON, WI SHOPKO STORES INC 4027 PLOVER, WI 54467 53074 4801 WASHINGTON AVE (715) 342-9634 (262) 284-3456 BRADLEY WICKLUND O.D. RACINE, WI 53406 20 20 VISIONS LLC (262) 637-3733 LAWRENCE SMITH O.D. 100 CARR RD PAUL KAPPELL O.D. PO BOX 600 SHOPKO EYE CARE EYEQ OPTICAL NICOLE AMIDON O.D. CENTER 4171 PLYMOUTH, WI 53073 309 N FRANKLIN ST WISCONSIN VISION 1800 PLOVER RD (920) 893-3937 PORT WASHINGTON, WI 6035 DURAND AVE PLOVER, WI 54467 53074 RACINE, WI 53406 (715) 342-9634 (262) 261-5252 TIMOTHY ZIEGLER O.D. (262) 554-8600 ADVANCED EYE CARE RON TAUB O.D. 300 E MILL ST MELISSA KNOUS O.D. NICOLE AMIDON O.D. SHOPKO EYE CARE PLYMOUTH, WI 53073 EYEQ OPTICAL WISCONSIN VISION INC CENTER 4171 (920) 893-8474 309 N FRANKLIN ST 3905 DOUGLAS AVE 1800 PLOVER RD PORT WASHINGTON, WI RACINE, WI 53402 PLOVER, WI 54467 53074 (262) 639-5360 (715) 342-9634 CHERYL ZIEGLER O.D. (262) 261-5252 ADVANCED EYE CARE 300 E MILL ST RICKI ANDERSEN O.D. PLYMOUTH PLYMOUTH, WI 53073 MYRON PRAEGER O.D. VISION CLINIC (920) 893-8474 AURORA HEALTHCARE 1777 WEST GRAND AVE 1421 WASHINGTON AVE AURORA HEALTHCARE PORT WASHINGTON, WI RACINE, WI 53403 OPT. LARRY ZWEBEN M.D. 53074 (262) 637-7494 AURORA HEALTHCARE AURORA HEALTHCARE (262) 284-3456 2600 KILEY WAY 2600 KILEY WAY PLYMOUTH, WI 53073 JEFF BANAS O.D. PLYMOUTH, WI 53073 (920) 449-7130 PORTAGE WISCONSIN VISION (920) 449-7130 6035 DURAND AVE RACINE, WI 53406 GLEN KOHLHAGEN O.D. HERBERT WEBB O.D. (262) 554-8600 AURORA HEALTHCARE DRS ELLIOT & WEBB SC 2600 KILEY WAY 304 W COOK ST PLYMOUTH, WI 53073 PORTAGE, WI 53901 (920) 449-7130 (608) 742-7133

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 62 of 79 RACINE RACINE RACINE RACINE

JEFF BANAS O.D. JEFFREY CHRISTIANSON ALWIN EDAKKUNNATHU DARCY GROSTICK O.D. WISCONSIN VISION INC O.D. O.D. WISCONSIN VISION 3905 DOUGLAS AVE WISCONSIN VISION LENSCRAFTERS 6035 DURAND AVE RACINE, WI 53402 6035 DURAND AVE 5778 DURAND AVE RACINE, WI 53406 (262) 639-5360 RACINE, WI 53406 RACINE, WI 53406 (262) 554-8600 (262) 554-8600 (262) 554-6676

DONNA BELANGER O.D. PAUL HERZFELD O.D. WISCONSIN VISION JEFFREY CHRISTIANSON ROBERT ELLIOTT O.D. HERSLOF OPTICIANS O.D. 6035 DURAND AVE ELLIOTT VISION CENTER 524 MAIN ST RACINE, WI 53406 WISCONSIN VISION INC 2722 OLD MILL DR RACINE, WI 53403 3905 DOUGLAS AVE (262) 554-8600 RACINE, WI 53405 (262) 632-1252 RACINE, WI 53402 (262) 632-2020 (262) 639-5360 DONNA BELANGER O.D. PAUL HERZFELD O.D. WISCONSIN VISION INC THOMAS ELSON O.D. HERSLOF OPTICIANS PAUL DALECKY O.D. 3905 DOUGLAS AVE WISCONSIN VISION 5802 WASHINGTON AVE WISCONSIN VISION RACINE, WI 53402 6035 DURAND AVE RACINE, WI 53406 6035 DURAND AVE (262) 639-5360 RACINE, WI 53406 (262) 886-2532 RACINE, WI 53406 (262) 554-8600 (262) 554-8600 MARK BELTON OPT. GREGORY HUBERTUS O.D. EYE CENTERS OF RACINE THOMAS ELSON O.D. WISCONSIN VISION PAUL DALECKY O.D. LTD WISCONSIN VISION INC 6035 DURAND AVE WISCONSIN VISION INC 3805 B SPRING ST 3905 DOUGLAS AVE RACINE, WI 53406 3905 DOUGLAS AVE STE 140 RACINE, WI 53402 (262) 554-8600 RACINE, WI 53405 RACINE, WI 53402 (262) 639-5360 (262) 637-0500 (262) 639-5360 GREGORY HUBERTUS O.D. LYNDA ENEMUOH O.D. WISCONSIN VISION INC CYNTHIA DECKER-RIDDLE KENNETH BROWN OPT. WISCONSIN VISION 3905 DOUGLAS AVE O.D. EYE OPENERZ 6035 DURAND AVE RACINE, WI 53402 WISCONSIN VISION 411 MAIN ST RACINE, WI 53406 (262) 639-5360 6035 DURAND AVE RACINE, WI 53403 (262) 554-8600 RACINE, WI 53406 (262) 632-3939 (262) 554-8600 JOHN JENNINGS O.D. LYNDA ENEMUOH O.D. LENSCRAFTERS KENNETH BROWN OPT. WISCONSIN VISION INC 5778 DURAND AVE CYNTHIA DECKER-RIDDLE EYE OPENERZ 3905 DOUGLAS AVE O.D. RACINE, WI 53406 334 MAIN STREET RACINE, WI 53402 WISCONSIN VISION INC (262) 554-6676 RACINE, WI 53403 (262) 639-5360 3905 DOUGLAS AVE (262) 632-3939 RACINE, WI 53402 LAWRENCE JOHANSEN (262) 639-5360 KRISTINE EVANS O.D. O.D. DARWIN CHENTNIK O.D. WISCONSIN VISION SHOPKO STORES INC 4027 DR DARWIN EYE CARE 6035 DURAND AVE 4801 WASHINGTON AVE SHERRY DUFF OPT. 5401 DOUGLAS AVE RACINE, WI 53406 RACINE, WI 53406 EYE CENTERS OF RACINE STE B LTD (262) 554-8600 (262) 637-3733 RACINE, WI 53402 3805 B SPRING ST (262) 752-0050 STE 140 KRISTINE EVANS O.D. ANNA KOECK O.D. RACINE, WI 53405 WISCONSIN VISION INC WISCONSIN VISION INC (262) 637-0500 3905 DOUGLAS AVE 3905 DOUGLAS AVE RACINE, WI 53402 RACINE, WI 53402 (262) 639-5360 (262) 639-5360

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 63 of 79 RACINE RACINE RACINE RACINE

JAMES KRIEGE O.D. CHELSEA MILLER O.D. STEPHEN PRUETT O.D. YOSEPH SARRAFZADEH SHOPKO STORES INC 4027 VISION CLINIC EYE CENTERS OF RACINE O.D. 4801 WASHINGTON AVE 1421 WASHINGTON AVE LTD WISCONSIN VISION INC RACINE, WI 53406 RACINE, WI 53403 3805 B SPRING ST 3905 DOUGLAS AVE (262) 637-3733 (262) 637-7494 STE 140 RACINE, WI 53402 RACINE, WI 53405 (262) 639-5360 (262) 637-0500 JANICE LE O.D. MICHELLE MUELLER O.D. WISCONSIN VISION SHOPKO STORES INC 4027 BRUCE SAVIN O.D. 6035 DURAND AVE 4801 WASHINGTON AVE SAMEENA RAZVI O.D. VISION CLINIC RACINE, WI 53406 RACINE, WI 53406 LENSCRAFTERS 1421 WASHINGTON AVE (262) 554-8600 (262) 637-3733 5778 DURAND AVE RACINE, WI 53403 RACINE, WI 53406 (262) 637-7494 (262) 554-6676 JANICE LE O.D. SARA NICHOLSON O.D. WISCONSIN VISION INC PEARLE VISION MICHAEL SEPRISH O.D. 3905 DOUGLAS AVE 2721 S GREENBAY RD DEAN ROSENBERG O.D. LENSCRAFTERS RACINE, WI 53402 RACINE, WI 53406 RACINE OPTICAL CO 5778 DURAND AVE (262) 639-5360 (262) 554-5991 217 SIXTH ST RACINE, WI 53406 RACINE, WI 53403 (262) 554-6676 (262) 634-4430 LENSCRAFTERS #781 OPT. SHOPKO OPTICAL 4027 LENSCRAFTERS OPT. EFTHYMIA SHERMAN OPT. 5778 DURAND AVE SHOPKO STORES INC 4027 JAMES ROSS O.D. EYE CENTERS OF RACINE RACINE, WI 53406 4801 WASHINGTON AVE EYE OPENERZ LTD (262) 554-6676 RACINE, WI 53406 334 MAIN STREET 3805 B SPRING ST (262) 637-3733 RACINE, WI 53403 STE 140 (262) 632-3939 RACINE, WI 53405 GINA MADRIGAL OPT. (262) 637-0500 EYE CENTERS OF RACINE HERSLOF OPTICIANS OPT. LTD HERSLOF OPTICIANS JAMES ROSS O.D. 3805 B SPRING ST 5802 WASHINGTON AVE EYE OPENERZ HEIDI SHUFELT O.D. STE 140 RACINE, WI 53406 411 MAIN ST SHOPKO STORES INC 4027 RACINE, WI 53405 (262) 886-2532 RACINE, WI 53403 4801 WASHINGTON AVE (262) 637-0500 (262) 632-3939 RACINE, WI 53406 (262) 637-3733 HERSLOF OPTICIANS OPT. ROBERT MAHONEY O.D. HERSLOF OPTICIANS RADHA SANKA M.D. RGM EYECARE LLC 524 MAIN ST EYE CENTERS OF RACINE INDER SINGH M.D. 4304 TAYLOR AVE RACINE, WI 53403 LTD EYE CENTERS OF RACINE RACINE, WI 53405 (262) 632-1252 3805 B SPRING ST LTD (262) 404-5001 STE 140 3805 B SPRING ST RACINE, WI 53405 STE 140 JENNIFER PILESKI- (262) 637-0500 RACINE, WI 53405 ROBERT MATHAUS O.D. PERONA O.D. (262) 637-0500 WISCONSIN VISION LENSCRAFTERS 6035 DURAND AVE 5778 DURAND AVE YOSEPH SARRAFZADEH O.D. KANWAR SINGH M.D. RACINE, WI 53406 RACINE, WI 53406 (262) 554-8600 (262) 554-6676 WISCONSIN VISION EYE CENTERS OF RACINE 6035 DURAND AVE LTD RACINE, WI 53406 3805 B SPRING ST STE 140 ROBERT MATHAUS O.D. ASHLEY PLOTKIN O.D. (262) 554-8600 RACINE, WI 53405 WISCONSIN VISION INC LENSCRAFTERS (262) 637-0500 3905 DOUGLAS AVE 5778 DURAND AVE RACINE, WI 53402 RACINE, WI 53406 (262) 639-5360 (262) 554-6676

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 64 of 79 RACINE RHINELANDER RHINELANDER RHINELANDER

MICHELLE TURLAIS O.D. LAWRENCE ADDISON O.D. KAREN HAMERLY OPT. PATRICIA LECLAIR OPT. LENSCRAFTERS SHOPKO EYE CARE EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 5778 DURAND AVE CENTER 4170 SC SC RACINE, WI 53406 2200 LINCOLN ST 2 E OCALA ST 2 E OCALA ST (262) 554-6676 RHINELANDER, WI 54501 RHINELANDER, WI 54501 RHINELANDER, WI 54501 (715) 362-4800 (715) 362-2600 (715) 362-2600

JOSEPH WILSON O.D. WISCONSIN VISION SCOTT BRUNEAU O.D. VICKI HARWOOD OPT. KATIE MICHALSKI O.D. 6035 DURAND AVE SHOPKO EYE CARE EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN RACINE, WI 53406 CENTER 4170 SC SC (262) 554-8600 2200 LINCOLN ST 2 E OCALA ST 2 E OCALA ST RHINELANDER, WI 54501 RHINELANDER, WI 54501 RHINELANDER, WI 54501 (715) 362-4800 (715) 362-2600 (715) 362-2600 JOSEPH WILSON O.D. WISCONSIN VISION INC 3905 DOUGLAS AVE TRACY CHARTIER OPT. GINA HECK O.D. LYNDA NOGER OPT. RACINE, WI 53402 EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN SC SC SC (262) 639-5360 2 E OCALA ST 2 E OCALA ST 2 E OCALA ST RHINELANDER, WI 54501 RHINELANDER, WI 54501 RHINELANDER, WI 54501 (715) 362-2600 (715) 362-2600 (715) 362-2600 SARA WINKLER O.D. WISCONSIN VISION 6035 DURAND AVE ERIN DAGGETT O.D. COLLEEN HENNELLY O.D. SHOPKO OPTICAL 4170 RACINE, WI 53406 SHOPKO EYE CARE SHOPKO EYE CARE OPT. (262) 554-8600 CENTER 4170 CENTER 4170 SHOPKO EYE CARE 2200 LINCOLN ST 2200 LINCOLN ST CENTER 4170 RHINELANDER, WI 54501 RHINELANDER, WI 54501 2200 LINCOLN ST SARA WINKLER O.D. (715) 362-4800 (715) 362-4800 RHINELANDER, WI 54501 WISCONSIN VISION INC (715) 362-4800 3905 DOUGLAS AVE RACINE, WI 53402 BRIDGETTE DIXON OPT. MATTHEW JOHNSON O.D. (262) 639-5360 EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN RICKY SCALCUCCI O.D. SC SC EYE CLINIC OF WISCONSIN 2 E OCALA ST 2 E OCALA ST SC RANDOM LAKE RHINELANDER, WI 54501 RHINELANDER, WI 54501 2 E OCALA ST (715) 362-2600 (715) 362-2600 RHINELANDER, WI 54501 (715) 362-2600 NICHOLE CRUZ O.D. NICHOLE M CRUZ OD LLC MARC FREDERIKSEN O.D. ANNE KIEFER OPT. 675 WOLF RD SHOPKO EYE CARE EYE CLINIC OF WISCONSIN DANIEL STOEHR O.D. RANDOM LAKE, WI 53075 CENTER 4170 SC EYE CLINIC OF WISCONSIN (920) 994-8500 2200 LINCOLN ST 2 E OCALA ST SC RHINELANDER, WI 54501 RHINELANDER, WI 54501 2 E OCALA ST RHINELANDER, WI 54501 RHINELANDER (715) 362-4800 (715) 362-2600 (715) 362-2600

JENNIFER AARRESTAD BRYAN GIRONELLA O.D. CARMEN LANG OPT. OPT. SHOPKO EYE CARE EYE CLINIC OF WISCONSIN GARY TACKMAN O.D. EYE CLINIC OF WISCONSIN CENTER 4170 SC SHOPKO EYE CARE SC 2200 LINCOLN ST 2 E OCALA ST CENTER 4170 2 E OCALA ST RHINELANDER, WI 54501 RHINELANDER, WI 54501 2200 LINCOLN ST RHINELANDER, WI 54501 (715) 362-4800 (715) 362-2600 RHINELANDER, WI 54501 (715) 362-2600 (715) 362-4800

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 65 of 79 RHINELANDER RICE LAKE RICHLAND CENTER RIVER FALLS

RON TAUB O.D. NICHOLAS KONWINSKI TRICIA OLSON O.D. DUSTIN HETKE O.D. SHOPKO EYE CARE O.D. OLSON FAMILY VISION SC SHOPKO EYE CARE CENTER 4170 SHOPKO EYE CARE 1850 BOHMANN DR CENTER 4130 2200 LINCOLN ST CENTER 4132 STE 11 1777 PAULSON RD RHINELANDER, WI 54501 320 S ACCESS RD RICHLAND CENTER, WI RIVER FALLS, WI 54022 (715) 362-4800 RICE LAKE, WI 54868 53581 (715) 425-6144 (715) 236-7906 (608) 649-3937

JEFF WILLIQUETTE O.D. NICHOLAS KONWINSKI EYEWEAR EXPRESS DONALD LORENTZ O.D. RIPON O.D. 232 S COURTNEY ST SHOPKO EYE CARE SHOPKO EYE CARE RHINELANDER, WI 54501 CENTER 4132 CENTER 4130 RUTH WEBER O.D. (715) 365-1515 320 S ACCESS RD 1777 PAULSON RD RICE LAKE, WI 54868 WEBER EYE CARE LLC RIVER FALLS, WI 54022 (715) 236-7906 1081 B W FOND DU LAC (715) 425-6144 RICE LAKE STREET RIPON, WI 54971 STEVE NEYENS O.D. (920) 748-1497 STEVE NEYENS O.D. JODI BERGSTROM O.D. SHOPKO EYE CARE SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4132 CENTER 4130 CENTER 4132 320 S ACCESS RD RIVER FALLS 1777 PAULSON RD 320 S ACCESS RD RICE LAKE, WI 54868 RIVER FALLS, WI 54022 RICE LAKE, WI 54868 (715) 236-7906 (715) 425-6144 BOBBIE BARSNESS O.D. (715) 236-7906 FALLS FAMILY EYE CARE SHOPKO OPTICAL 4132 117 S MAIN ST SHOPKO OPTICAL 4130 TORI FLOOD O.D. OPT. RIVER FALLS, WI 54022 OPT. SHOPKO EYE CARE SHOPKO EYE CARE (715) 425-7228 SHOPKO EYE CARE CENTER 4132 CENTER 4132 CENTER 4130 320 S ACCESS RD 320 S ACCESS RD 1777 PAULSON RD RICE LAKE, WI 54868 RICE LAKE, WI 54868 SCOTT BRUNEAU O.D. RIVER FALLS, WI 54022 (715) 236-7906 (715) 236-7906 SHOPKO EYE CARE (715) 425-6144 CENTER 4130 1777 PAULSON RD DUSTIN HETKE O.D. MIKEAL OSTRANDER O.D. RIVER FALLS, WI 54022 MIKEAL OSTRANDER O.D. SHOPKO EYE CARE SHOPKO EYE CARE (715) 425-6144 SHOPKO EYE CARE CENTER 4132 CENTER 4132 CENTER 4130 320 S ACCESS RD 320 S ACCESS RD 1777 PAULSON RD RICE LAKE, WI 54868 RICE LAKE, WI 54868 TORI FLOOD O.D. RIVER FALLS, WI 54022 (715) 236-7906 (715) 236-7906 SHOPKO EYE CARE (715) 425-6144 CENTER 4130 1777 PAULSON RD KEVIN JACOBSON O.D. MICHAEL SEEBRUCK O.D. RIVER FALLS, WI 54022 ROTHSCHILD NORTHVIEW EYE NORTHVIEW EYE (715) 425-6144 ASSOCIATES LLC ASSOCIATES LLC SCOTT BRUNEAU O.D. 1801 W KNAPP ST 1801 W KNAPP ST SUITE 3 SUITE 3 ERIC HANSON O.D. SHOPKO EYE CARE CENTER 4008 RICE LAKE, WI 54868 RICE LAKE, WI 54868 SHOPKO EYE CARE CENTER 4130 1039 E GRAND AVE (715) 234-3113 (715) 234-3113 1777 PAULSON RD ROTHSCHILD, WI 54474 RIVER FALLS, WI 54022 (715) 359-0649 TRACY KOCEMBA O.D. ROBERT TILLMAN O.D. (715) 425-6144 NORTHVIEW EYE TILLMAN OPTOMETRY LLC ERIN DAGGETT O.D. ASSOCIATES LLC 2304 S MAIN SHOPKO EYE CARE 1801 W KNAPP ST RICE LAKE, WI 54868 CENTER 4008 SUITE 3 (715) 736-1700 1039 E GRAND AVE RICE LAKE, WI 54868 ROTHSCHILD, WI 54474 (715) 234-3113 (715) 359-0649

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 66 of 79 ROTHSCHILD ROTHSCHILD SAUKVILLE SEYMOUR

MARC FREDERIKSEN O.D. RON TAUB O.D. PAUL HERZFELD O.D. ERIN DAGGETT O.D. SHOPKO EYE CARE SHOPKO EYE CARE HERSLOF'S INC SHOPKO EYECARE CENTER 4008 CENTER 4008 620 E GREEN BAY AVE CENTER 4607 1039 E GRAND AVE 1039 E GRAND AVE STE 126 1010 SOUTH MAINLINE DR ROTHSCHILD, WI 54474 ROTHSCHILD, WI 54474 SAUKVILLE, WI 53080 SEYMOUR, WI 54165 (715) 359-0649 (715) 359-0649 (262) 284-2242 (920) 833-0430

BRYAN GIRONELLA O.D. SAINT CROIX JAMES IVANOSKI O.D. CRAIG KELLER O.D. SHOPKO EYE CARE FALLS LAKESHORE EYE CARE SHOPKO EYECARE CENTER 4008 PROF CENTER 4607 BRYCE 1039 E GRAND AVE 620 E GREEN BAY AVE 1010 SOUTH MAINLINE DR CHRISTOPHERSON O.D. ROTHSCHILD, WI 54474 STE 124 SEYMOUR, WI 54165 ST CROIX FALLS EYE (715) 359-0649 (920) 833-0430 ASSOC SAUKVILLE, WI 53080 213 S ADAMS STREET (262) 268-9537 SAINT CROIX FALLS, WI COLLEEN HENNELLY O.D. 54024 SHOPKO OPTICAL 607 SHOPKO EYE CARE (715) 483-3259 STUART NATALE O.D. SHOPKO EYECARE CENTER 4008 GREAT LAKES FAMILY CENTER 4607 1039 E GRAND AVE VISION 1010 SOUTH MAINLINE DR ROTHSCHILD, WI 54474 SEYMOUR, WI 54165 SANDRA DOLPHIN O.D. 289 E GREEN BAY AVE (715) 359-0649 (920) 833-0430 ST CROIX FALLS EYE SAUKVILLE, WI 53080 ASSOC (262) 268-2007 213 S ADAMS STREET KENNETH MARTELL O.D. SAINT CROIX FALLS, WI GARY TACKMAN O.D. SHOPKO EYE CARE 54024 HERSLOF OPTICIANS OPT. SHOPKO EYECARE CENTER 4008 (715) 483-3259 HERSLOF'S INC CENTER 4607 1039 E GRAND AVE 620 E GREEN BAY AVE 1010 SOUTH MAINLINE DR ROTHSCHILD, WI 54474 STE 126 SEYMOUR, WI 54165 (715) 359-0649 LAWRENCE TRAN O.D. SAUKVILLE, WI 53080 (920) 833-0430 ST CROIX FALLS EYE (262) 284-2242 ASSOC COURTNEY O'KEEFE O.D. 213 S ADAMS STREET SHAWANO SHOPKO EYE CARE SAINT CROIX FALLS, WI SCHOFIELD CENTER 4008 54024 WILLIAM STERN O.D. 1039 E GRAND AVE (715) 483-3259 ROTHSCHILD, WI 54474 WILLIAM KNUTSON O.D. VISION HEALTH EYECARE CENTER (715) 359-0649 20/20 VISION CENTER INC 153 WOODLAWN DR SALEM 1523 METRO DR PO BOX 475 SCHOFIELD, WI 54476 SHAWANO, WI 54166 SHOPKO OPTICAL 4008 (715) 355-8800 OPT. PETER KALINKA O.D. (715) 524-2553 SHOPKO EYE CARE SALEM VISION CENTER CENTER 4008 7525 242ND AVE WILLIAM KNUTSON O.D. 1039 E GRAND AVE SHEBOYGAN SALEM, WI 53168 VISION AND LASER CLINIC ROTHSCHILD, WI 54474 (262) 843-1513 5608 S BUSINESS 51 (715) 359-0649 SCHOFIELD, WI 54476 BRIAN ADLER O.D. (715) 359-2020 SAUKVILLE SHOPKO EYE CARE CENTER 4116 TANYA REID O.D. 518 S TAYLOR DR SHOPKO EYE CARE ANDREW TRUDELL OPT. CENTER 4008 MARK GERMAN O.D. SHEBOYGAN, WI 53081 20/20 VISION CENTER INC 1039 E GRAND AVE LAKESHORE EYE CARE (920) 458-5757 1523 METRO DR ROTHSCHILD, WI 54474 PROF SCHOFIELD, WI 54476 (715) 359-0649 620 E GREEN BAY AVE STE 124 (715) 355-8800 SAUKVILLE, WI 53080 (262) 268-9537

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 67 of 79 SHEBOYGAN SHEBOYGAN SHEBOYGAN SHEBOYGAN

JENNIFER ALVAREZ O.D. CYNTHIA DECKER-RIDDLE AURORA HEALTHCARE TODD LARSON D.O. VISIONARY EYE CARE O.D. OPT. LARSON EYE CARE SC 833 PENNSYLVANIA AVE WISCONSIN VISION INC AURORA HEALTHCARE 1442 N 31ST ST STE 102 2229 S MEMORIAL PL 2414 KOHLER MEMORIAL SHEBOYGAN, WI 53081 DR SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 452-5400 SHEBOYGAN, WI 53081 (920) 457-2015 (920) 458-9301 (920) 457-4461 CHRISTOPHER LARSON NICOLE AMIDON O.D. KRISTEN DORMAN O.D. M.D. PAUL HERZFELD O.D. WISCONSIN VISION INC SHOPKO EYE CARE LARSON EYE CARE SC HERSLOF OPTICIANS 2229 S MEMORIAL PL CENTER 4116 1442 N 31ST ST SHEBOYGAN, WI 53081 518 S TAYLOR DR 3108 S BUSINESS DR SHEBOYGAN, WI 53081 (920) 458-9301 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 452-5400 (920) 458-5757 (920) 457-1300

DONNA BELANGER O.D. ANDREW LAVEY O.D. LYNDA ENEMUOH O.D. PAUL HERZFELD O.D. WISCONSIN VISION INC LARSON EYE CARE SC 2229 S MEMORIAL PL WISCONSIN VISION INC VISION MART 1442 N 31ST ST SHEBOYGAN, WI 53081 2229 S MEMORIAL PL 2923 N 15TH ST SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53083 (920) 458-9301 SHEBOYGAN, WI 53081 (920) 452-5400 (920) 458-9301 (920) 452-3900

JEFFREY CHRISTIANSON H LEFFINGWELL O.D. O.D. KRISTINE EVANS O.D. GREGORY HUBERTUS O.D. AURORA HEALTHCARE WISCONSIN VISION INC WISCONSIN VISION INC WISCONSIN VISION INC 2414 KOHLER MEMORIAL 2229 S MEMORIAL PL 2229 S MEMORIAL PL 2229 S MEMORIAL PL DR SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 458-9301 (920) 458-9301 (920) 458-9301 (920) 457-4461

BRIAN COOK O.D. SARA FALTER O.D. LEO KAMINSKI OPT. SHERYL LINDMAN O.D. SHOPKO EYE CARE VISIONARY EYE CARE BADGER OPTICAL LINDMAN EYE CARE CENTER 4116 833 PENNSYLVANIA AVE 2631 CALUMNET DR 2644 N EIGHTH ST 518 S TAYLOR DR STE 102 SHEBOYGAN, WI 53083 SHEBOYGAN, WI 53083 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 452-2020 (920) 458-3312 (920) 458-5757 (920) 457-2015

DAVID KISIOLEK O.D. DOUGLAS LONG M.D. NICHOLE CRUZ O.D. AARON GRUBER O.D. DAVID W KISIOLEK OD SC AURORA HEALTHCARE DR STEVEN J WINELAND VISIONARY EYE CARE 300 AUDUBON RD 2414 KOHLER MEMORIAL 731 PENNSYLVANIA AVE 833 PENNSYLVANIA AVE SHEBOYGAN, WI 53083 DR SHEBOYGAN, WI 53081 STE 102 (920) 565-3991 SHEBOYGAN, WI 53081 (920) 452-3127 SHEBOYGAN, WI 53081 (920) 457-4461 (920) 457-2015 MELISSA KNOUS O.D. PAUL DALECKY O.D. HERSLOF OPTICIANS SHANNON MACNAB O.D. WISCONSIN VISION INC SANDRA HAMILTON O.D. 3108 S BUSINESS DR SHOPKO EYE CARE 2229 S MEMORIAL PL GENERATIONS FAMILY SHEBOYGAN, WI 53081 CENTER 4116 SHEBOYGAN, WI 53081 EYE CARE (920) 457-1300 518 S TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-9301 3144 WILGUS AVE SHEBOYGAN, WI 53081 (920) 458-5757 (920) 452-5213 GLEN KOHLHAGEN O.D. AURORA HEALTHCARE 2414 KOHLER MEMORIAL ROBERT MATHAUS O.D. DR WISCONSIN VISION INC SHEBOYGAN, WI 53081 2229 S MEMORIAL PL (920) 457-4461 SHEBOYGAN, WI 53081 (920) 458-9301

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 68 of 79 SHEBOYGAN SHEBOYGAN SHEBOYGAN SLINGER

MICHELLE MUELLER O.D. CHERYL ROERS O.D. DAVID VANDERLOOP O.D. PAUL KAPPELL O.D. SHOPKO EYE CARE VISIONARY EYE CARE VISIONARY EYE CARE VISION SITE CENTER 4116 833 PENNSYLVANIA AVE 833 PENNSYLVANIA AVE 425 A EAST WASHINGTON 518 S TAYLOR DR STE 102 STE 102 ST SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 SLINGER, WI 53086 (920) 458-5757 (920) 457-2015 (920) 457-2015 (262) 644-0707

SHOPKO OPTICAL 4116 YOSEPH SARRAFZADEH JOSEPH WILSON O.D. SOUTH OPT. O.D. WISCONSIN VISION INC MILWAUKEE SHOPKO EYE CARE WISCONSIN VISION INC 2229 S MEMORIAL PL CENTER 4116 JERRY STERN O.D. 2229 S MEMORIAL PL SHEBOYGAN, WI 53081 DR JERRY STERN 518 S TAYLOR DR SHEBOYGAN, WI 53081 (920) 458-9301 OPTOMETRIST SHEBOYGAN, WI 53081 (920) 458-9301 (920) 458-5757 1001 MADISON AVE SOUTH MILWAUKEE, WI SARA WINKLER O.D. 53172 STEVEN SHIRCEL O.D. WISCONSIN VISION INC HERSLOF OPTICIANS OPT. (414) 764-3260 AURORA HEALTHCARE 2229 S MEMORIAL PL HERSLOF OPTICIANS 2414 KOHLER MEMORIAL SHEBOYGAN, WI 53081 3108 S BUSINESS DR DR (920) 458-9301 SPOONER SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 457-1300 (920) 457-4461 TODD YACKELS O.D. KEVIN JACOBSON O.D. BADGER OPTICAL NORTHVIEW EYE AMY PEOT O.D. DAVID SLAGOWSKI O.D. ASSOCIATES LLC 2631 CALUMNET DR SHOPKO EYE CARE 130 WALNUT ST SHOPKO EYE CARE SHEBOYGAN, WI 53083 CENTER 4116 CENTER 4116 SPOONER, WI 54801 (920) 452-2020 518 S TAYLOR DR 518 S TAYLOR DR (715) 234-3113 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 458-5757 (920) 458-5757 LARRY ZWEBEN M.D. TRACY KOCEMBA O.D. AURORA HEALTHCARE NORTHVIEW EYE 2414 KOHLER MEMORIAL THERESA PETRICK O.D. ASSOCIATES LLC RON TAUB O.D. DR SHOPKO EYE CARE 130 WALNUT ST SHOPKO EYE CARE SHEBOYGAN, WI 53081 CENTER 4116 CENTER 4116 SPOONER, WI 54801 (920) 457-4461 518 S TAYLOR DR 518 S TAYLOR DR (715) 234-3113 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (920) 458-5757 (920) 458-5757 SIREN MICHAEL SEEBRUCK O.D. NORTHVIEW EYE LAURA RAU O.D. KRISTIE THIEME O.D. APRIL SMITH O.D. ASSOCIATES LLC SHOPKO EYE CARE SHOPKO EYE CARE SIREN FAMILY EYECARE 130 WALNUT ST CENTER 4116 CENTER 4116 24082 STATE RD 35 SPOONER, WI 54801 518 S TAYLOR DR 518 S TAYLOR DR SIREN, WI 54872 (715) 234-3113 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 (715) 349-2733 (920) 458-5757 (920) 458-5757 SPRING GREEN BRIAN SMITH O.D. TERRY REGENWETHER RICHARD TOELLNER O.D. SIREN FAMILY EYECARE OPT. JEFFREY VODAK O.D. SHOPKO EYE CARE 24082 STATE RD 35 SHEBOYGAN OPTICAL CENTER 4116 SPRING GREEN VISION SIREN, WI 54872 1442 N 31 ST 518 S TAYLOR DR CENTER INC (715) 349-2733 SHEBOYGAN, WI 53081 SHEBOYGAN, WI 53081 150 E JEFFERSON ST (920) 458-5096 (920) 458-5757 SPRING GREEN, WI 53588 (608) 588-2612

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 69 of 79 STEVENS POINT STEVENS POINT STEVENS POINT STEVENS POINT

JENNIFER AARRESTAD KAREN HAMERLY OPT. ANNE KIEFER OPT. ASHLEY OZANNE O.D. OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN STERLING OPTICAL EYE CLINIC OF WISCONSIN SC SC 200 DIVISION SC 3401 STANLEY ST 3401 STANLEY ST STEVENS POINT, WI 54481 3401 STANLEY ST STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 341-0198 STEVENS POINT, WI 54481 (715) 261-8500 (715) 261-8500 (715) 261-8500 STEPHEN ROLLINS O.D. VICKI HARWOOD OPT. CARMEN LANG OPT. STERLING OPTICAL SCOTT BRUNEAU O.D. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 200 DIVISION SHOPKO EYE CARE SC SC STEVENS POINT, WI 54481 CENTER 4055 3401 STANLEY ST 3401 STANLEY ST (715) 341-0198 1200 MAIN ST STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 261-8500 (715) 261-8500 (715) 344-5355 RICKY SCALCUCCI O.D. EYE CLINIC OF WISCONSIN GINA HECK O.D. PATRICIA LECLAIR OPT. SC TRACY CHARTIER OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 3401 STANLEY ST EYE CLINIC OF WISCONSIN SC SC STEVENS POINT, WI 54481 SC 3401 STANLEY ST 3401 STANLEY ST (715) 261-8500 3401 STANLEY ST STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 261-8500 (715) 261-8500 (715) 261-8500 LAWRENCE SMITH O.D. SHOPKO EYE CARE COLLEEN HENNELLY O.D. KATIE MICHALSKI O.D. CENTER 4055 BENJAMIN CLARK O.D. SHOPKO EYE CARE EYE CLINIC OF WISCONSIN 1200 MAIN ST EYE CLINIC OF WISCONSIN CENTER 4055 SC STEVENS POINT, WI 54481 SC 1200 MAIN ST 3401 STANLEY ST (715) 344-5355 3401 STANLEY ST STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 344-5355 (715) 261-8500 (715) 261-8500 DANIEL STOEHR O.D. EYE CLINIC OF WISCONSIN AMANDA HOFFMANN O.D. LYNDA NOGER OPT. SC BRIDGETTE DIXON OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN 3401 STANLEY ST EYE CLINIC OF WISCONSIN SC SC STEVENS POINT, WI 54481 SC 3401 STANLEY ST 3401 STANLEY ST (715) 261-8500 3401 STANLEY ST STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 261-8500 (715) 261-8500 (715) 261-8500 RON TAUB O.D. SHOPKO EYE CARE AMANDA HOFFMANN O.D. COURTNEY O'KEEFE O.D. CENTER 4055 COLLEEN DORAN OPT. STEVENS POINT EYE CARE SHOPKO EYE CARE 1200 MAIN ST EYE CLINIC OF WISCONSIN 1324 CENTER POINT DR CENTER 4055 STEVENS POINT, WI 54481 SC STEVENS POINT, WI 54481 1200 MAIN ST (715) 344-5355 3401 STANLEY ST (715) 341-5088 STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 (715) 344-5355 (715) 261-8500 STOUGHTON MATTHEW JOHNSON O.D. EYE CLINIC OF WISCONSIN SHOPKO OPTICAL 4055 LINDSAY GENTEMAN OPT. SC OPT. BRADY HAFERMAN O.D. EYE CLINIC OF WISCONSIN 3401 STANLEY ST SHOPKO EYE CARE PROGRESSIVE FAMILY SC STEVENS POINT, WI 54481 CENTER 4055 EYECARE 3401 STANLEY ST (715) 261-8500 1200 MAIN ST 105 KINGS LYNN ROAD STEVENS POINT, WI 54481 STEVENS POINT, WI 54481 STOUGHTON, WI 53589 (715) 261-8500 (715) 344-5355 (608) 873-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 70 of 79 STOUGHTON SUN PRAIRIE SUN PRAIRIE SUPERIOR

ANDREW LINDELL O.D. JEFFREY CLEMENTS O.D. LISA ZARWELL O.D. BETH FISCHER O.D. STOUGHTON EYE CARE & WRIGHT VISION CARE LLC WRIGHT VISION CARE VISION PRO OPTICAL EYEWEAR PRAIRIE 1455 W MAIN ST 2425 TOWER AVE 2300 US HWY 51-138 2808 PRAIRIE LAKES DRIVE SUN PRAIRIE, WI 53590 SUPERIOR, WI 54880 STE E SUITE 106 (608) 825-2020 (715) 394-7999 STOUGHTON, WI 53589 SUN PRAIRIE, WI 53590 (608) 205-2293 (608) 825-2020 LISA ZARWELL O.D. JANE LINVILLE O.D. WRIGHT VISION CARE LLC VISION PRO OPTICAL SHELLY SKJOLAAS O.D. FREDERIC GORDON O.D. PRAIRIE 2425 TOWER AVE STOUGHTON EYE CARE & WRIGHT VISION CARE 2808 PRAIRIE LAKES DRIVE SUPERIOR, WI 54880 EYEWEAR 1455 W MAIN ST SUITE 106 (715) 394-7999 2300 US HWY 51-138 SUN PRAIRIE, WI 53590 SUN PRAIRIE, WI 53590 STE E (608) 825-2020 (608) 825-2020 STOUGHTON, WI 53589 JANE LINVILLE O.D. (608) 205-2293 VISION PRO OPTICAL FREDERIC GORDON O.D. SUPERIOR 1325 TOWER AVE WRIGHT VISION CARE LLC SUPERIOR, WI 54880 STURTEVANT PRAIRIE (715) 392-2204 2808 PRAIRIE LAKES DRIVE CANDACE CHRISTEN O.D. SUITE 106 VISION PRO OPTICAL MARGUERITE SUN PRAIRIE, WI 53590 1325 TOWER AVE RICHARDSON O.D. MITCH WEIGEL O.D. SUPERIOR, WI 54880 (608) 825-2020 VISION PRO OPTICAL TWENTY TWENTY FAMILY (715) 392-2204 VISION IN 2425 TOWER AVE 10351 WASHINGTON AVE SUPERIOR, WI 54880 JESSAMYN KOVACS O.D. STE 300 (715) 394-7999 CANDACE CHRISTEN O.D. STURTEVANT, WI 53177 WRIGHT VISION CARE VISION PRO OPTICAL (262) 664-7120 1455 W MAIN ST 2425 TOWER AVE SUN PRAIRIE, WI 53590 MITCH WEIGEL O.D. SUPERIOR, WI 54880 (608) 825-2020 VISION PRO OPTICAL (715) 394-7999 SUN PRAIRIE 1325 TOWER AVE SUPERIOR, WI 54880 JESSAMYN KOVACS O.D. (715) 392-2204 FRANK BALDWIN O.D. WRIGHT VISION CARE LLC LINDSAY DENTON O.D. BALDWIN EYE CARE LLC PRAIRIE VISION PRO OPTICAL 2808 PRAIRIE LAKES DRIVE 2425 TOWER AVE 1721 W MAIN ST QUANG WILSON O.D. SUITE 106 SUPERIOR, WI 54880 SUN PRAIRIE, WI 53590 VISION PRO OPTICAL SUN PRAIRIE, WI 53590 (715) 394-7999 (608) 837-7325 2425 TOWER AVE (608) 825-2020 SUPERIOR, WI 54880 (715) 394-7999 TREVOR BALDWIN O.D. LINDSAY DENTON O.D. BALDWIN EYE CARE LLC RICHARD WRIGHT O.D. VISION PRO OPTICAL WRIGHT VISION CARE 1325 TOWER AVE 1721 W MAIN ST QUANG WILSON O.D. 1455 W MAIN ST SUPERIOR, WI 54880 SUN PRAIRIE, WI 53590 VISION PRO OPTICAL SUN PRAIRIE, WI 53590 (715) 392-2204 (608) 837-7325 1325 TOWER AVE (608) 825-2020 SUPERIOR, WI 54880 (715) 392-2204 JEFFREY CLEMENTS O.D. BETH FISCHER O.D. WRIGHT VISION CARE RICHARD WRIGHT O.D. VISION PRO OPTICAL WRIGHT VISION CARE LLC 1325 TOWER AVE 1455 W MAIN ST SCOTT WRIGHT O.D. PRAIRIE SUPERIOR, WI 54880 SUN PRAIRIE, WI 53590 VISION PRO OPTICAL 2808 PRAIRIE LAKES DRIVE (715) 392-2204 (608) 825-2020 2425 TOWER AVE SUITE 106 SUPERIOR, WI 54880 SUN PRAIRIE, WI 53590 (715) 394-7999 (608) 825-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 71 of 79 SUPERIOR THIENSVILLE THORP TOMAHAWK

SCOTT WRIGHT O.D. JENNIFER ALVAREZ O.D. RYAN BELOUNGY O.D. ROGER LAMOREUX O.D. VISION PRO OPTICAL PREMIER VISION CARDINAL FAMILY EYE TOMAHAWK EYE CARE 1325 TOWER AVE 10800 N PORT CARE 1334 N 4TH ST SUPERIOR, WI 54880 WASHINGTON RD 201 E HILL ST STE 101 (715) 392-2204 THIENSVILLE, WI 53092 THORP, WI 54771 TOMAHAWK, WI 54487 (262) 241-4848 (715) 669-5631 (715) 224-2200

SUSSEX DAVID AYMOND M.D. JACOB VERGIN O.D. BRITTANY LEMKE O.D. PREMIER VISION CARDINAL FAMILY EYE NORTHERN SIGHT VISION BRIAN ADLER O.D. 10800 N PORT CARE CLINIC SHOPKO EYE CARE WASHINGTON RD 201 E HILL ST 318 N SIXTH CENTER 4178 THIENSVILLE, WI 53092 THORP, WI 54771 TOMAHAWK, WI 54487 N66 W 25201 CTH V V (262) 241-4848 (715) 669-5631 (715) 453-3636 SUSSEX, WI 53089 (262) 820-2656 DOUGLAS ORLICH O.D. TOMAH SHAWN MARQUARDT OPT. PREMIER VISION TOMAHAWK EYE CARE KRISTEN DORMAN O.D. 10800 N PORT 1334 N 4TH ST SHOPKO EYE CARE WASHINGTON RD DUSTIN CHERNEY O.D. STE 101 CENTER 4178 THIENSVILLE, WI 53092 FAMILY VISION CENTER OF TOMAH TOMAHAWK, WI 54487 N66 W 25201 CTH V V (262) 241-4848 (715) 224-2200 SUSSEX, WI 53089 1825 N SUPERIOR AVE (262) 820-2656 STE 3 ERIC PEDERSEN O.D. TOMAH, WI 54660 LEE PURDY O.D. PREMIER VISION (608) 372-4664 TOMAHAWK EYE CARE SHOPKO OPTICAL 4178 10800 N PORT 1334 N 4TH ST OPT. WASHINGTON RD STE 101 SHOPKO EYE CARE THIENSVILLE, WI 53092 RICHARD FOSS O.D. CENTER 4178 TOMAHAWK, WI 54487 (262) 241-4848 FAMILY VISION CENTER N66 W 25201 CTH V V OF TOMAH (715) 224-2200 SUSSEX, WI 53089 1825 N SUPERIOR AVE (262) 820-2656 STE 3 ADAM ROSA O.D. TWIN LAKES PREMIER VISION TOMAH, WI 54660 10800 N PORT (608) 372-4664 CHRISTOPHER WINTER WASHINGTON RD O.D. NICHOLAS BOWEN O.D. THIENSVILLE, WI 53092 FAMILY VISION SUSSEX EYE CARE JESSICA PULS O.D. (262) 241-4848 308 E MAIN ST CENTER SC FAMILY VISION CENTER N63W23524 SILVER OF TOMAH TWIN LAKES, WI 53181 SPRING DR (262) 877-3999 VAUGN SCHNEIDER O.D. 1825 N SUPERIOR AVE SUSSEX, WI 53089 PREMIER VISION STE 3 (262) 246-8066 TOMAH, WI 54660 10800 N PORT ROBERT FAIT O.D. WASHINGTON RD (608) 372-4664 FAMILY VISION THIENSVILLE, WI 53092 KELLYE ZAPORSKI O.D. 308 E MAIN ST (262) 241-4848 SHOPKO EYE CARE ANN WONDERLING O.D. TWIN LAKES, WI 53181 CENTER 4178 FAMILY VISION CENTER (262) 877-3999 N66 W 25201 CTH V V KRISTEN ZIEGLER O.D. OF TOMAH SUSSEX, WI 53089 PREMIER VISION 1825 N SUPERIOR AVE (262) 820-2656 KEVIN HARRY O.D. 10800 N PORT STE 3 WASHINGTON RD TOMAH, WI 54660 FAMILY VISION THIENSVILLE, WI 53092 (608) 372-4664 308 E MAIN ST (262) 241-4848 TWIN LAKES, WI 53181 (262) 877-3999

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 72 of 79 TWIN LAKES WATERFORD WATERTOWN WAUKESHA

TIMOTHY HELL O.D. ANDREA PARISI O.D. DESIREE HERRON O.D. AMBER BARTELS O.D. FAMILY VISION EYE CARE CTR OF WATERTOWN VISION LLC NEHS FAMILY VISION CTR 308 E MAIN ST WATERFORD 1640 S CHURCH ST 100 ARCADIAN AVE TWIN LAKES, WI 53181 401 N MILWAUKEE ST WATERTOWN, WI 53094 WAUKESHA, WI 53186 (262) 877-3999 STE 3 (920) 390-2971 (262) 542-3676 WATERFORD, WI 53185 (262) 534-9100 JON MCKINNEY O.D. PENNY IVERSON- DONNA BELANGER O.D. FAMILY VISION AMMERAAL O.D. WISCONSIN VISION INC 308 E MAIN ST WATERTOWN SHOPKO EYE CARE 203A E SUNSET DR TWIN LAKES, WI 53181 CENTER 4019 WAUKESHA, WI 53189 (262) 877-3999 701 S CHURCH ST (262) 524-1130 BRIAN ADLER O.D. WATERTOWN, WI 53094 SHOPKO EYE CARE (920) 261-9225 CENTER 4019 TWO RIVERS CHRISTIAN CAMUS O.D. 701 S CHURCH ST AURORA MEDICAL GRP WATERTOWN, WI 53094 KRISTIN MOSEMAN O.D. W231 N1440 CORPORATE (920) 261-9225 JAMES HANSEN O.D. SHOPKO EYE CARE CT AURORA HEALTHCARE CENTER 4019 WAUKESHA, WI 53186 5300 MEMORIAL DR 701 S CHURCH ST (262) 896-6000 TWO RIVERS, WI 54241 DAVID BJORK O.D. WATERTOWN, WI 53094 (920) 793-7515 WATERTOWN VISION LLC (920) 261-9225 1640 S CHURCH ST JEFFREY CHRISTIANSON WATERTOWN, WI 53094 O.D. AURORA HEALTHCARE (920) 390-2971 SHOPKO OPTICAL 4019 WISCONSIN VISION INC OPT. OPT. 203A E SUNSET DR AURORA HEALTHCARE SHOPKO EYE CARE WAUKESHA, WI 53189 ERIK BJORK O.D. CENTER 4019 5300 MEMORIAL DR (262) 524-1130 TWO RIVERS, WI 54241 WATERTOWN VISION LLC 701 S CHURCH ST (920) 793-7515 1640 S CHURCH ST WATERTOWN, WI 53094 (920) 261-9225 WATERTOWN, WI 53094 THOMAS CONNOR M.D. (920) 390-2971 WESTBROOK HEALTH VERONA CENTER BRIAN SCHROEDL O.D. 2315 E MORELAND BLVD KESHA DESAI O.D. SHOPKO EYE CARE WAUKESHA, WI 53186 TAMI HUNT O.D. CENTER 4019 WATERTOWN VISION LLC (262) 532-5700 VERONA VISION CARE LLC 1640 S CHURCH ST 701 S CHURCH ST 320 S MAIN ST WATERTOWN, WI 53094 WATERTOWN, WI 53094 (920) 261-9225 VERONA, WI 53593 (920) 390-2971 ANDREW COOK O.D. (608) 848-5168 TARGET OPTICAL 2401 KOSSOW RD KELLYE ZAPORSKI O.D. MEGAN DRAPER O.D. WAUKESHA, WI 53186 EMMYLOU WILSON O.D. SHOPKO EYE CARE SHOPKO EYE CARE (262) 784-7403 VERONA VISION CARE LLC CENTER 4019 CENTER 4019 320 S MAIN ST 701 S CHURCH ST 701 S CHURCH ST WATERTOWN, WI 53094 VERONA, WI 53593 WATERTOWN, WI 53094 JOSEPHINE-LIEZL CUETO (920) 261-9225 (608) 848-5168 (920) 261-9225 M.D. AURORA MEDICAL GRP WAUKESHA W231 N1440 CORPORATE ALICJA FITZGERALD O.D. CT SHOPKO EYE CARE WAUKESHA, WI 53186 CENTER 4019 NICOLE AMIDON O.D. (262) 896-6000 701 S CHURCH ST WISCONSIN VISION INC WATERTOWN, WI 53094 203A E SUNSET DR (920) 261-9225 WAUKESHA, WI 53189 (262) 524-1130

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 73 of 79 WAUKESHA WAUKESHA WAUKESHA WAUKESHA

MARK DAGENAIS O.D. KRISTINE EVANS O.D. JOHN JENNINGS O.D. DANA MCGUIRE O.D. THE EYE GROUP SC WISCONSIN VISION INC DR AARON HOLTEBECK HERSLOF OTICIANS 3228 TURNBERRY OAK DR 203A E SUNSET DR MD 821 MEADOWBROOK RD STE 200 WAUKESHA, WI 53189 1111 DELAFIELD ST WAUKESHA, WI 53188 WAUKESHA, WI 53188 (262) 524-1130 STE 312 (262) 650-9235 (262) 542-7113 WAUKESHA, WI 53188 (262) 547-3352 GREGORY GRIEPENTROG ROBERT MEYER O.D. PAUL DALECKY O.D. M.D. THE EYE GROUP SC WISCONSIN VISION INC WESTBROOK HEALTH JEREMY KEMMERLING O.D. 3228 TURNBERRY OAK DR 203A E SUNSET DR CENTER WISCONSIN VISION INC STE 200 WAUKESHA, WI 53189 2315 E MORELAND BLVD 203A E SUNSET DR WAUKESHA, WI 53188 (262) 524-1130 WAUKESHA, WI 53186 WAUKESHA, WI 53189 (262) 542-7113 (262) 532-5700 (262) 524-1130

CYNTHIA DECKER-RIDDLE ROBERT MEYER O.D. PAUL HERZFELD O.D. O.D. NORAH KHANGURA M.D. WISCONSIN VISION INC WISCONSIN VISION INC HERSLOF OTICIANS AURORA MEDICAL GRP 203A E SUNSET DR 203A E SUNSET DR 821 MEADOWBROOK RD W231 N1440 CORPORATE WAUKESHA, WI 53189 WAUKESHA, WI 53189 WAUKESHA, WI 53188 CT (262) 524-1130 (262) 524-1130 (262) 650-9235 WAUKESHA, WI 53186 (262) 896-6000 MARCUS NEITZKE O.D. JENNIFER HILLMANN O.D. AMBER DENTZ O.D. THE EYE GROUP SC THE EYE GROUP SC NEHS FAMILY VISION CTR LOGAN KIEKHAFER O.D. 3228 TURNBERRY OAK DR 3228 TURNBERRY OAK DR 100 ARCADIAN AVE WISCONSIN VISION INC STE 200 STE 200 WAUKESHA, WI 53186 203A E SUNSET DR WAUKESHA, WI 53188 WAUKESHA, WI 53188 (262) 542-3676 WAUKESHA, WI 53189 (262) 542-7113 (262) 542-7113 (262) 524-1130

AARON HOLTEBECK M.D. TARGET OPTICAL OPT. ANNA KOECK O.D. MARY ELLIS M.D. DR AARON HOLTEBECK TARGET OPTICAL MD AURORA MEDICAL GRP WISCONSIN VISION INC 2401 KOSSOW RD 1111 DELAFIELD ST W231 N1440 CORPORATE 203A E SUNSET DR WAUKESHA, WI 53186 CT STE 312 WAUKESHA, WI 53189 (262) 784-7403 WAUKESHA, WI 53186 WAUKESHA, WI 53188 (262) 524-1130 (262) 896-6000 (262) 547-3352 MEIJER OPTICAL SHOP LAURA KOPPLIN M.D. OPT. THOMAS ELSON O.D. GREGORY HUBERTUS O.D. WESTBROOK HEALTH MEIJER OPTICAL WISCONSIN VISION INC WISCONSIN VISION INC CENTER 801 E SUNSET DR 203A E SUNSET DR 203A E SUNSET DR 2315 E MORELAND BLVD WAUKESHA, WI 53189 WAUKESHA, WI 53189 WAUKESHA, WI 53189 WAUKESHA, WI 53186 (800) 524-0789 (262) 524-1130 (262) 524-1130 (262) 532-5700

SPENCER ROGERS M.D. LYNDA ENEMUOH O.D. JAMES HULEN O.D. ROBERT MATHAUS O.D. AURORA MEDICAL GRP WISCONSIN VISION INC JAMES J HULEN OD WISCONSIN VISION INC W231 N1440 CORPORATE 203A E SUNSET DR 515 N GRAND AVE 203A E SUNSET DR CT WAUKESHA, WI 53189 WAUKESHA, WI 53186 WAUKESHA, WI 53189 WAUKESHA, WI 53186 (262) 524-1130 (262) 544-4722 (262) 524-1130 (262) 896-6000

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 74 of 79 WAUKESHA WAUKESHA WAUPACA WAUPUN

ANNA SADLER O.D. WILLIAM WIROSTKO M.D. SHOPKO OPTICAL OPT. RICHARD OLSON O.D. WISCONSIN VISION INC WESTBROOK HEALTH SHOPKO EYECARE OLSON EYE CARE LLC 203A E SUNSET DR CENTER CENTER #789 102 SHALER DR WAUKESHA, WI 53189 2315 E MORELAND BLVD 825 W FULTON ST WAUPUN, WI 53963 (262) 524-1130 WAUKESHA, WI 53186 WAUPACA, WI 54981 (920) 324-3501 (262) 532-5700 (715) 258-9000

YOSEPH SARRAFZADEH TERESA RUCH OPT. O.D. NICHOLAS ZAHN O.D. LAWRENCE SMITH O.D. ROCK RIVER EYEWEAR WISCONSIN VISION INC WISCONSIN VISION INC SHOPKO EYECARE 223 E MAIN ST 203A E SUNSET DR 203A E SUNSET DR CENTER #789 WAUPUN, WI 53963 WAUKESHA, WI 53189 WAUKESHA, WI 53189 825 W FULTON ST (920) 324-8608 (262) 524-1130 (262) 524-1130 WAUPACA, WI 54981 (715) 258-9000 WAUSAU SHANE SOLBERG O.D. WAUNAKEE SOLBERG EYE CARE WAUPUN S30 W24896 SUNSET DR JENNIFER AARRESTAD DAVID MAY O.D. OPT. STE 105 MAY VISION CENTER CONSTANCE COPELAND EYE CLINIC OF WISCONSIN WAUKESHA, WI 53189 330 N CENTURY AVE O.D. SC (262) 542-5295 WAUNAKEE, WI 53597 ROCK RIVER EYEWEAR 800 N 1ST ST (608) 849-3937 223 E MAIN ST WAUSAU, WI 54403 WAUPUN, WI 53963 (715) 261-8500 ERIC TYLER O.D. (920) 324-8608 MEIJER OPTICAL ELISA SKADAHL-KURT O.D. 801 E SUNSET DR MAY VISION CENTER KATIE BLUHM O.D. WAUKESHA, WI 53189 JESSAMYN KOVACS O.D. 330 N CENTURY AVE STEWART AVENUE (800) 524-0789 WAUNAKEE, WI 53597 OLSON EYE CARE LLC OPTICAL INC (608) 849-3937 102 SHALER DR 2100 STEWART AVE WAUPUN, WI 53963 STE 120 AMY WEAVER O.D. (920) 324-3501 WAUSAU, WI 54401 WESTBROOK HEALTH (715) 845-1988 CENTER WAUPACA 2315 E MORELAND BLVD JEFFERY LAMARRE O.D. WAUKESHA, WI 53186 SCOTT BRUNEAU O.D. ROCK RIVER EYEWEAR SCOTT BRUNEAU O.D. (262) 532-5700 SHOPKO EYECARE 223 E MAIN ST SHOPKO EYE CARE CENTER #789 WAUPUN, WI 53963 CENTER 4079 825 W FULTON ST (920) 324-8608 200 S 18TH AVE JOSEPH WILSON O.D. WAUPACA, WI 54981 WAUSAU, WI 54401 WISCONSIN VISION INC (715) 258-9000 (715) 842-8040 203A E SUNSET DR STACY NEPERUD O.D. WAUKESHA, WI 53189 ROCK RIVER EYEWEAR (262) 524-1130 DANIEL EVERTS O.D. 223 E MAIN ST TRACY CHARTIER OPT. ADVANCED FAMILY EYE WAUPUN, WI 53963 EYE CLINIC OF WISCONSIN CARE (920) 324-8608 SC SARA WINKLER O.D. 308 W FULTON STREET 800 N 1ST ST WISCONSIN VISION INC WAUPACA, WI 54981 WAUSAU, WI 54403 203A E SUNSET DR (715) 258-8168 ANGELA OLSON O.D. (715) 261-8500 WAUKESHA, WI 53189 OLSON EYE CARE LLC (262) 524-1130 102 SHALER DR DANIEL GAUERKE O.D. WAUPUN, WI 53963 BENJAMIN CLARK O.D. BROADWAY VISION (920) 324-3501 EYE CLINIC OF WISCONSIN CENTER SC 815 W FULTON ST 800 N 1ST ST STE 3 WAUSAU, WI 54403 WAUPACA, WI 54981 (715) 261-8500 (715) 258-9122

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 75 of 79 WAUSAU WAUSAU WAUSAU WAUSAU

ERIN DAGGETT O.D. RAYMOND GOGA O.D. KELSEY KOERNER O.D. R MARQUARDT O.D. SHOPKO EYE CARE ENVISION EYECARE LLC EYECARE CENTER OF ENVISION EYECARE LLC CENTER 4079 515 N 17TH AVE WAUSAU 515 N 17TH AVE 200 S 18TH AVE WAUSAU, WI 54401 205 W BRIDGE ST WAUSAU, WI 54401 WAUSAU, WI 54401 (715) 848-1246 STE 101 (715) 848-1246 (715) 842-8040 WAUSAU, WI 54401 (715) 848-2020 KAREN HAMERLY OPT. KATIE MICHALSKI O.D. BRIDGETTE DIXON OPT. EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN EYE CLINIC OF WISCONSIN SC BARBARA KRETZER OPT. SC SC 800 N 1ST ST DOWNTOWN OPTICAL 800 N 1ST ST 800 N 1ST ST WAUSAU, WI 54403 330 WASHINGTON ST WAUSAU, WI 54403 WAUSAU, WI 54403 (715) 261-8500 WAUSAU, WI 54403 (715) 261-8500 (715) 261-8500 (715) 298-3308

VICKI HARWOOD OPT. STEVE NEYENS O.D. COLLEEN DORAN OPT. EYE CLINIC OF WISCONSIN CARMEN LANG OPT. SHOPKO EYE CARE EYE CLINIC OF WISCONSIN SC EYE CLINIC OF WISCONSIN CENTER 4079 SC 800 N 1ST ST SC 200 S 18TH AVE 800 N 1ST ST WAUSAU, WI 54403 800 N 1ST ST WAUSAU, WI 54401 WAUSAU, WI 54403 (715) 261-8500 WAUSAU, WI 54403 (715) 842-8040 (715) 261-8500 (715) 261-8500

GINA HECK O.D. LYNDA NOGER OPT. DEAN FAIT O.D. EYE CLINIC OF WISCONSIN PATRICIA LECLAIR OPT. EYE CLINIC OF WISCONSIN STEWART AVENUE SC EYE CLINIC OF WISCONSIN SC OPTICAL INC 800 N 1ST ST SC 800 N 1ST ST 2100 STEWART AVE WAUSAU, WI 54403 800 N 1ST ST WAUSAU, WI 54403 STE 120 (715) 261-8500 WAUSAU, WI 54403 (715) 261-8500 WAUSAU, WI 54401 (715) 261-8500 (715) 845-1988 COLLEEN HENNELLY O.D. COURTNEY O'KEEFE O.D. SHOPKO EYE CARE GREGORY LEISCHER O.D. SHOPKO EYE CARE RICHARD FELTY O.D. CENTER 4079 EYECARE CENTER OF CENTER 4079 STEWART AVENUE 200 S 18TH AVE WAUSAU 200 S 18TH AVE OPTICAL INC WAUSAU, WI 54401 205 W BRIDGE ST WAUSAU, WI 54401 2100 STEWART AVE (715) 842-8040 STE 101 (715) 842-8040 STE 120 WAUSAU, WI 54401 WAUSAU, WI 54401 (715) 848-2020 (715) 845-1988 AMANDA HOFFMANN O.D. SHOPKO OPTICAL 4079 EYE CLINIC OF WISCONSIN OPT. SC LENSCRAFTERS #729 OPT. SHOPKO EYE CARE DANIEL FEULING O.D. 800 N 1ST ST LENSCRAFTERS CENTER 4079 LENSCRAFTERS WAUSAU, WI 54403 D-460 WAUSAU CENTER 200 S 18TH AVE D-460 WAUSAU CENTER (715) 261-8500 MALL WAUSAU, WI 54401 MALL WAUSAU, WI 54403 (715) 842-8040 WAUSAU, WI 54403 (715) 842-5224 (715) 842-5224 MATTHEW JOHNSON O.D. EYE CLINIC OF WISCONSIN RONALD PIFFL O.D. SC JANE MANNING O.D. DOWNTOWN OPTICAL MARC FREDERIKSEN O.D. 800 N 1ST ST LENSCRAFTERS 330 WASHINGTON ST SHOPKO EYE CARE WAUSAU, WI 54403 D-460 WAUSAU CENTER WAUSAU, WI 54403 CENTER 4079 (715) 261-8500 MALL (715) 298-3308 200 S 18TH AVE WAUSAU, WI 54403 WAUSAU, WI 54401 (715) 842-5224 (715) 842-8040

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 76 of 79 WAUSAU WAUTOMA WEST BEND WEST BEND

BRIAN PUENT O.D. CARIN LACOUNT O.D. MICHAEL AURORA HEALTHCARE RIB MOUNTAIN EYE CARE SHOPKO EYE CARE BARDENWERPER O.D. OPT. 2600 RIB MOUNTAIN DR CENTER ADVANCED FOCUS AURORA HEALTHCARE STE 120 N2585 PLAZA RD EYECARE 205 VALLEY AVE WAUSAU, WI 54401 PO BOX 1409 1116 N MAIN ST WEST BEND, WI 53095 (715) 803-2700 WAUTOMA, WI 54982 WEST BEND, WI 53090 (262) 338-1123 (920) 787-7709 (262) 247-2343

JEFFREY SARAZEN O.D. PAUL HERZFELD O.D. MICHAEL ENVISION EYECARE LLC LAWRENCE SMITH O.D. VISION MART BARDENWERPER O.D. 515 N 17TH AVE SHOPKO EYE CARE 930 GATEWAY DRIVE EYE CARE OPTICAL WAUSAU, WI 54401 CENTER WEST BEND, WI 53095 1411 S MAIN ST (715) 848-1246 N2585 PLAZA RD (262) 306-1400 PO BOX 1409 WEST BEND, WI 53095 WAUTOMA, WI 54982 (262) 334-2020 RICKY SCALCUCCI O.D. (920) 787-7709 CHAD HOITINK M.D. EYE CLINIC OF WISCONSIN WEST BEND CLINIC INC EDWARD COPE O.D. SC 1700 W PARADISE WEST BEND CLINIC INC 800 N 1ST ST WEBSTER WEST BEND, WI 53095 1700 W PARADISE WAUSAU, WI 54403 (262) 334-3451 (715) 261-8500 WEST BEND, WI 53095 BRYCE (262) 334-3451 CHRISTOPHERSON O.D. JAMES IVANOSKI O.D. WEBSTER EYE MICHELE SCHLEGEL OPT. ASSOCIATES EYE CARE OPTICAL KRISTEN DORMAN O.D. EYE CLINIC OF WISCONSIN 7440 MAIN ST WEST 1411 S MAIN ST SC SHOPKO EYE CARE WEST BEND, WI 53095 WEBSTER, WI 54893 CENTER 4018 800 N 1ST ST (262) 334-2020 (715) 866-4700 1710 S MAIN ST WAUSAU, WI 54403 (715) 261-8500 WEST BEND, WI 53095 (262) 334-7077 SANDRA DOLPHIN O.D. STANLEY KAMINSKI OPT. WEBSTER EYE EYE CARE OPTICAL LAWRENCE SMITH O.D. ASSOCIATES 1411 S MAIN ST CHARLES ENGELBRECHT SHOPKO EYE CARE 7440 MAIN ST WEST O.D. WEST BEND, WI 53095 CENTER 4079 WEBSTER, WI 54893 EYE CARE OPTICAL (262) 334-2020 200 S 18TH AVE (715) 866-4700 1411 S MAIN ST WAUSAU, WI 54401 WEST BEND, WI 53095 (715) 842-8040 PAUL KAPPELL O.D. (262) 334-2020 LAWRENCE TRAN O.D. EYE CARE OPTICAL WEBSTER EYE 1411 S MAIN ST DANIEL STOEHR O.D. ASSOCIATES STEVEN ENGELBRECHT WEST BEND, WI 53095 EYE CLINIC OF WISCONSIN 7440 MAIN ST WEST O.D. (262) 334-2020 SC WEBSTER, WI 54893 WEST BEND CLINIC INC 800 N 1ST ST (715) 866-4700 1700 W PARADISE WAUSAU, WI 54403 WEST BEND, WI 53095 MICHELLE KWON O.D. (715) 261-8500 (262) 334-3451 EYE CARE OPTICAL WEST BEND 1411 S MAIN ST WEST BEND, WI 53095 BUSISIWE VANDRIEL O.D. SARA FALTER O.D. (262) 334-2020 SHOPKO EYE CARE BRIAN ADLER O.D. CENTER 4079 SHOPKO EYE CARE EYE CARE OPTICAL 200 S 18TH AVE CENTER 4018 1411 S MAIN ST JEFFERY LAMARRE O.D. WAUSAU, WI 54401 1710 S MAIN ST WEST BEND, WI 53095 EYE CARE OPTICAL (715) 842-8040 WEST BEND, WI 53095 (262) 334-2020 1411 S MAIN ST (262) 334-7077 WEST BEND, WI 53095 (262) 334-2020

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 77 of 79 WEST BEND WEST BEND WEST BEND WISCONSIN RAPIDS

DAVID LIEBURN O.D. DANIEL PRIDEMORE O.D. KELLYE ZAPORSKI O.D. ERIN DAGGETT O.D. SHOPKO EYE CARE WEST BEND CLINIC INC SHOPKO EYE CARE SHOPKO EYE CARE CENTER 4018 1700 W PARADISE CENTER 4018 CENTER 4012 1710 S MAIN ST WEST BEND, WI 53095 1710 S MAIN ST 1100 E RIVERVIEW EXPY WEST BEND, WI 53095 (262) 334-3451 WEST BEND, WI 53095 WISCONSIN RAPIDS, WI (262) 334-7077 (262) 334-7077 54494 (715) 423-1340 LAURA RAU O.D. SHANNON MACNAB O.D. SHOPKO EYE CARE WESTBY SHOPKO EYE CARE CENTER 4018 MICHAEL DOWNS O.D. CENTER 4018 1710 S MAIN ST DOWNS EYE CARE GERALD ADAMS O.D. 1710 S MAIN ST WEST BEND, WI 53095 1730 7TH ST S GERALD S ADAMS OD WEST BEND, WI 53095 (262) 334-7077 WISCONSIN RAPIDS, WI (262) 334-7077 105 SOUTH MAIN ST 54494 WESTBY, WI 54667 (715) 423-5353 DAVID SLAGOWSKI O.D. (608) 634-3434 MARK MEULER O.D. SHOPKO EYE CARE WEST BEND CLINIC INC CENTER 4018 PETER FALK O.D. 1700 W PARADISE 1710 S MAIN ST WEYAUWEGA DOWNS EYE CARE WEST BEND, WI 53095 WEST BEND, WI 53095 1730 7TH ST S (262) 334-3451 (262) 334-7077 WISCONSIN RAPIDS, WI TODD WILD O.D. 54494 TODD WILD OD (715) 423-5353 415 E ANN ST SCOTT MORETTI M.D. KRISTIE THIEME O.D. WEYAUWEGA, WI 54983 AURORA HEALTHCARE SHOPKO EYE CARE (920) 867-3131 COLLEEN HENNELLY O.D. 205 VALLEY AVE CENTER 4018 SHOPKO EYE CARE WEST BEND, WI 53095 1710 S MAIN ST CENTER 4012 (262) 338-1123 WEST BEND, WI 53095 WISCONSIN 1100 E RIVERVIEW EXPY (262) 334-7077 RAPIDS WISCONSIN RAPIDS, WI 54494 EARL NEPPLE M.D. JILL ANDERSON O.D. (715) 423-1340 CLEAR VISION EYE CARE JANE TRIMBERGER O.D. BECKER VISION CENTER 1201 OAK ST WEST BEND CLINIC INC S.C. 1700 W PARADISE STE S 2411 THIRD ST SOUTH CAROL MAIN O.D. WEST BEND, WI 53095 WISCONSIN RAPIDS, WI WEST BEND, WI 53095 PARKWOOD EYE CARE 54494 (262) 338-0505 (262) 334-3451 ASSOCIATES (715) 424-3937 1220 PARKWOOD DR WISCONSIN RAPIDS, WI JERRY OLSON O.D. CHRISTINE WARD O.D. 54494 WEST BEND OPTICAL SHOPKO EYE CARE WILLIAM BECKER O.D. (715) 421-2111 3720 W WASHINGTON ST CENTER 4018 BECKER VISION CENTER S.C. WEST BEND, WI 53095 1710 S MAIN ST 2411 THIRD ST SOUTH (262) 338-1800 WEST BEND, WI 53095 MICHAEL MAIN O.D. WISCONSIN RAPIDS, WI (262) 334-7077 PARKWOOD EYE CARE 54494 ASSOCIATES (715) 424-3937 SHOPKO OPTICAL 4018 1220 PARKWOOD DR OPT. JOHN WEAVER O.D. WISCONSIN RAPIDS, WI SHOPKO EYE CARE AURORA HEALTHCARE 54494 CENTER 4018 205 VALLEY AVE SCOTT BRUNEAU O.D. (715) 421-2111 1710 S MAIN ST WEST BEND, WI 53095 SHOPKO EYE CARE CENTER 4012 WEST BEND, WI 53095 (262) 338-1123 1100 E RIVERVIEW EXPY (262) 334-7077 WISCONSIN RAPIDS, WI 54494 AMY WEAVER O.D. (715) 423-1340 WEST BEND CLINIC INC 1700 W PARADISE WEST BEND, WI 53095 (262) 334-3451

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 78 of 79 WISCONSIN RAPIDS

SHOPKO OPTICAL 4012 OPT. SHOPKO EYE CARE CENTER 4012 1100 E RIVERVIEW EXPY WISCONSIN RAPIDS, WI 54494 (715) 423-1340

LAWRENCE SMITH O.D. SHOPKO EYE CARE CENTER 4012 1100 E RIVERVIEW EXPY WISCONSIN RAPIDS, WI 54494 (715) 423-1340

STEPHEN STERNITZKY O.D. PARKWOOD EYE CARE ASSOCIATES 1220 PARKWOOD DR WISCONSIN RAPIDS, WI 54494 (715) 421-2111

RON TAUB O.D. SHOPKO EYE CARE CENTER 4012 1100 E RIVERVIEW EXPY WISCONSIN RAPIDS, WI 54494 (715) 423-1340

WITTENBERG

ERIN GOGA O.D. RAYMOND M GOGA OD 601 S WEBB ST WITTENBERG, WI 54499 (715) 253-2157

RAYMOND GOGA O.D. RAYMOND M GOGA OD 601 S WEBB ST WITTENBERG, WI 54499 (715) 253-2157

INTERNAL USE ONLY. THIS DIRECTORY IS BASED UPON THE MOST RECENT CONTRACTUAL INFORMATION AVAILABLE AT PRINTING AND IS SUBJECT TO CHANGE WITHOUT NOTICE. CURRENT PARTICIPATION SHOULD BE VERIFIED THROUGH THE ON-LINE PROVIDER DIRECTORY AND OR DIRECTLY WITH THE PROVIDERS. Rev. 01/18 Page 79 of 79