OPHTHALMIC SURGERY OF WI LTD (NPI# 1093881609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093881609 |
| Entity Type | Organization |
| Organization Name | OPHTHALMIC SURGERY OF WI LTD |
| Other Organization Name | OPHTHALMIC SURGERY OF WISCONSIN LTD |
| Practice Address |
509 S Washburn St Oshkosh WI 54904-7949 |
| Mailing Address |
Po Box 308 Neenah WI 54957-0308 |
| Practice Telephone | 9202364160 |
| Practice Fax Number | 9202364166 |
| Mailing Telephone | 9202364162 |
| Mailing Fax Number | 9202364166 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | GERALD P CLARKE (PRESIDENT) |
| Authorized Official Telephone | 9202364160 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32704500 | 05 | |
| WI | RETIRED RAILROAD MEDICARE | CS8378 | 01 |
| Other Name | Type Code |
|---|---|
| Ophthalmic Surgery of Wisconsin Ltd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578617957 | Ophthalmic Surgery of Wi Ltd | Eyewear Supplier (Equipment, not the service) | 509 S Washburn St, Oshkosh, WI 54904 | 2007-01-22 |
| Street Address |
509 S WASHBURN ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578617957 | Ophthalmic Surgery of Wi Ltd | Eyewear Supplier (Equipment, not the service) | 509 S Washburn St, Oshkosh, WI 54904 | 2007-01-22 |
| 1104988955 | Gerald P Clarke | Ophthalmology | 509 S Washburn St, Oshkosh, WI 54904-7949 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513467 | Eric M Larson | Ophthalmology | 1885 West Pointe Dr, Oshkosh, WI 54902-4174 | 2006-01-23 |
| 1619957230 | Stephen J Merfeld | Ophthalmology | 1885 W Pointe Dr, Oshkosh, WI 54902-4174 | 2006-01-19 |
| 1861989501 | Stellar Eye Care Sc | Ophthalmology | 358 S Koeller St, Oshkosh, WI 54902-5546 | 2018-04-18 |
| 1104988955 | Gerald P Clarke | Ophthalmology | 509 S Washburn St, Oshkosh, WI 54904-7949 | 2006-12-15 |
| 1386753523 | Stephen Sherman Dudley | Ophthalmology | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| 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.