WEST BEND OPTICAL, INC (NPI# 1023138922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023138922 |
| Entity Type | Organization |
| Organization Name | WEST BEND OPTICAL, INC |
| Practice Address |
3720 W. Washington St. West Bend WI 53095-8406 |
| Practice Telephone | 2623381800 |
| Practice Fax Number | 2623381947 |
| Mailing Telephone | 2623381800 |
| Mailing Fax Number | 2623381947 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | MRS. SANDRA H. OLSON (VP) |
| Authorized Official Telephone | 2623381800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1756 | WI | Eye and Vision Services Providers |
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
3720 W. WASHINGTON ST. |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020782 | Patricia Carol Ziegler | Technician/Technologist | 600 W Main St, Sun Prairie, WI 53590-2875 | 2020-07-20 |
| 1598234502 | Nicole Willems | Technician/Technologist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-11-19 |
| 1851866313 | Christine Czechanski | Technician/Technologist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-10-10 |
| 1649414566 | Cynthia Tomasik Seemann | Technician/Technologist | 3552 E Layton Ave, Cudahy, WI 53110-1409 | 2009-04-22 |
| 1407038607 | Janet Susan White | Technician/Technologist | 223 E Main St, Waupun, WI 53963-2019 | 2007-11-29 |
| 1437208386 | Sees The Day Ltd | Technician/Technologist | 113 Carmichael Rd, Hudson, WI 54016-7716 | 2007-01-09 |
Please comment or provide details below to improve the information on WEST BEND OPTICAL, INC.
| 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.