SCOTT FRANCIS BRUNEAU (NPI# 1003868621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003868621 |
Entity Type | Individual |
Full Name | SCOTT FRANCIS BRUNEAU |
Credential | O.D. |
Practice Address |
1100 E Riverview Expy Wisconsin Rapids WI 54494-5483 |
Practice Telephone | 7154231340 |
Practice Fax Number | 7154231444 |
Mailing Telephone | 7154231340 |
Mailing Fax Number | 7154231444 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 2719-035 | WI | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 38606200 | 05 |
Street Address |
1100 E RIVERVIEW EXPY |
City | WISCONSIN RAPIDS |
State | WI |
Zip Code | 54494-5483 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881645612 | Ron M Taub | Optometrist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2006-05-15 |
1538563127 | Kristin Olson | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2014-10-10 |
1275956633 | Diane Lynn Winkler | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2014-01-21 |
1750704110 | Julie Tlachac | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2014-01-21 |
1861814253 | Seth Mittelstaedt | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2014-01-20 |
1174876411 | Barry D Johnson | Pharmacist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2012-10-24 |
1437104049 | Shopko Stores Operating Co LLC | Pharmacy | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2006-05-23 |
1265484265 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114556057 | Danny Thomas O'day | Massage Therapist | 2841 Saratoga St., Wisconsin Rapids, WI 54494 | 2020-04-03 |
1588184584 | Debra Lee Eberhardy | Acupuncturist | 400 Daly Avenue, Suite 101, Wisconsin Rapids, WI 54494 | 2017-06-21 |
1235687716 | Jessica Lynn Noah | Marriage & Family Therapist | 3930 8th St. So., Ste 101, Wisconsin Rapids, WI 54494 | 2016-09-14 |
1700332079 | Tammy Marie Fischer | Social Worker | 3908 8th Street South, Suite 101, Wisconsin Rapids, WI 54494 | 2016-08-28 |
1720447675 | Marita Lynn Verhalen | Occupational Therapist | 410 Dewey St, Wisconsin Rapids, WI 54494 | 2016-02-21 |
1346656469 | Lori Kroening | Counselor | 2509 8th Street S, Wisconsin Rapids, WI 54494 | 2014-07-09 |
1104166305 | Shannon Colleen Huff | Psychologist | 531 3rd St S, Wisconsin Rapids, WI 54494 | 2013-02-25 |
1245589787 | Jennifer J Derousseau | Social Worker | 2611 12th Street South, Wisconsin Rapids, WI 54494 | 2012-08-30 |
1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
Find all providers in zip 54494 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538322425 | Ryan August Peine | Optometrist | 555 W Grand Ave, Wisconsin Rapids, WI 54495-2784 | 2008-07-09 |
1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
1578620456 | William R. Becker | Optometrist | 2411 3rd St S, Wisconsin Rapids, WI 54494-5853 | 2007-01-02 |
1790720209 | Thomas O Wipperfurth | Optometrist | 4331 8th St S, Wisconsin Rapids, WI 54494-7833 | 2006-06-18 |
1881645612 | Ron M Taub | Optometrist | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2006-05-15 |
1114910536 | Carol Ann Sheker Main | Optometrist | 1220 Parkwood Dr, Wisconsin Rapids, WI 54494-5488 | 2005-08-31 |
1396738563 | Soren A. Nywall | Optometrist | 1220 Parkwood Drive, Wisconsin Rapids, WI 54494-5488 | 2005-08-23 |
1427563063 | Revision Eye Care, LLC | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494-5238 | 2017-12-05 |
1619315421 | Peter Richard Falk | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494-5238 | 2013-06-13 |
Find all providers in WISCONSIN RAPIDS |
City | WISCONSIN RAPIDS |
Zip Code | 54494 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.