MADELEINE M HACKER (NPI# 1053803114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053803114 |
| Entity Type | Individual |
| Full Name | MADELEINE M HACKER |
| Credential | OD |
| Practice Address |
2825 Hunters Trl Portage WI 53901-3429 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6087425522 |
| Practice Fax Number | 6087453054 |
| Mailing Telephone | 6082501497 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3504-35 | WI | Eye and Vision Services Providers |
| Street Address |
2825 HUNTERS TRL |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548949 | Paul B Young | Pediatrics | 2825 Hunters Trl, Portage, WI 53901-3429 | 2005-09-12 |
| 1942743281 | Rachael B Booth | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-11-18 |
| 1588113724 | Melissa A O'rourke | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-09-29 |
| 1770938771 | Laura E Ballweg | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-04-27 |
| 1659712479 | Dean W Seavecki | Physician Assistant | 2825 Hunters Trl, 1st Floor, Portage, WI 53901-3429 | 2013-07-09 |
| 1992894786 | Kari Joyce Alexander | Physician Assistant | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-10-12 |
| 1760593545 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 2825 Hunters Trl, 2nd Floor, Portage, WI 53901 | 2006-08-31 |
| 1265455711 | Sarah M Haroldson | Family Medicine | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-07-25 |
| 1427085679 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 2825 Hunters Trl, Lower Level, Portage, WI 53901-3429 | 2006-06-26 |
| 1023054137 | Andrea J Langan | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 1669711438 | Portage Family Vision Care, PC | Optometrist | 6483 S Westnedge Ave, Portage, MI 49002-3542 | 2013-02-13 |
| 1679873343 | Portage Family Vision Care, PC | Optometrist | 6483 S. Westnedge Ave., Portage, MI 49002-3542 | 2010-10-28 |
| 1841477783 | Brian Lee Weller | Optometrist | 6650 S Westnedge Ave Ste 232, Portage, MI 49024-3503 | 2008-01-22 |
| 1720128895 | Aaron John Whitsett | Optometrist | 6410 S Westnedge, Portage, MI 49002 | 2007-02-07 |
| 1841353943 | Laura H Mitchell | Optometrist | 6650 S Westnedge Ave, Ste 232 Crossroads Mall, Portage, MI 49024-3597 | 2006-12-19 |
| 1770647505 | Matthew A Parker | Optometrist | 6780 S Westnedge Ave, Portage, MI 49024-3589 | 2006-12-19 |
| 1073681797 | David P Williams | Optometrist | 410 E Centre Ave, Portage, MI 49002-5541 | 2006-12-01 |
| 1831263995 | Drs Elliott & Webb, S.c. | Optometrist | 304 W Cook St, Portage, WI 53901-2108 | 2006-11-20 |
| 1245318179 | William Scott Goldthorpe | Optometrist | 130 Henry Dr, Portage, WI 53901-1105 | 2006-11-01 |
| 1457444093 | Lance Olson | Optometrist | 6097 Us Highway 6, Portage, IN 46368-5215 | 2006-10-02 |
| Find all providers in PORTAGE | ||||
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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.