MONROE FAMILY EYECARE, LLC (NPI# 1063531408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063531408 |
| Entity Type | Organization |
| Organization Name | MONROE FAMILY EYECARE, LLC |
| Other Organization Name | MUELLER & HEALY LLC |
| Practice Address |
1113 17th Ave Monroe WI 53566-2063 |
| Mailing Address |
Po Box 299 Monroe WI 53566-0299 |
| Practice Telephone | 6083255606 |
| Practice Fax Number | 6083255637 |
| Mailing Telephone | 6083255606 |
| Mailing Fax Number | 6083255637 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | DR. JAMES HEALY (OPTOMETRIST OWNER) |
| Authorized Official Telephone | 6083255606 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1670 | WI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Mueller & Healy LLC | Former Legal Business Name - Organization |
| Street Address |
1113 17TH AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487124 | James L Healy | Optometrist | 1113 17th Ave, Monroe, WI 53566-2063 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487124 | James L Healy | Optometrist | 1113 17th Ave, Monroe, WI 53566-2063 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265513410 | Eye Care Centers of Wisconsin, S.c. | Optometrist | 355 N Peters Ave Ste 1, Fond Du Lac, WI 54935-8115 | 2006-10-17 |
| 1982705810 | Chad R Overman | Optometrist | 2401 Highway 14 East, Richland Center, WI 53581 | 2006-09-25 |
| 1487685988 | Jeffrey R Thomas | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2006-07-05 |
| 1407817752 | Mark F. Cook | Optometrist | 412 Highland Blvd, Johnson Creek, WI 53038-9504 | 2006-03-28 |
| 1215996723 | Steven Lee Nottleson | Optometrist | 1545 Main St, Marinette, WI 54143-1334 | 2006-03-22 |
| 1063487072 | Kerry Lee Griebenow | Optometrist | 105 Northridge Dr, New London, WI 54961-2703 | 2006-02-22 |
| 1518949056 | Vision Clinic Dr. Savin & Associates | Optometrist | 1421 Washington Ave, Racine, WI 53403-2254 | 2005-11-18 |
| 1215182563 | Oscar Ortiz | Optometrist | 1 W Towne Mall, Madison, WI 53719-1019 | 2008-11-28 |
| 1508053083 | Romanak Vision Inc. | Optometrist | 7323 60th Ave, Kenosha, WI 53142-3542 | 2007-09-28 |
| 1235352667 | Lindman Eye Care LLC | Optometrist | 2644 N 8th St, Sheboygan, WI 53083-4921 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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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.