MIDLINE VISION CLINICS SC (NPI# 1114157427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114157427 |
| Entity Type | Organization |
| Organization Name | MIDLINE VISION CLINICS SC |
| Practice Address |
4301 Lien Rd Madison WI 53704 |
| Mailing Address |
408 N 3rd St Ste 305 Wausau WI 54403-5455 |
| Practice Telephone | 6083275382 |
| Practice Fax Number | 6084674556 |
| Mailing Telephone | 6082391218 |
| Mailing Fax Number | 6084674556 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | DR. JEREMY MICHAEL GOETSCH (MANAGER) |
| Authorized Official Telephone | 7156932400 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3146-35 | WI | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 W Towne Mall, Madison, WI 537191019 | 6082391218 | |
| 43 E Towne Mall, Madison, WI 537043711 | 6082422413 | 6084674556 |
| 1001 Cormier Rd, Green Bay, WI 543044404 | 9204995873 | 6084674556 |
| Street Address |
4301 LIEN RD |
| City | MADISON |
| State | WI |
| Zip Code | 53704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124235916 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 4301 Lien Rd, Madison, WI 53704-3608 | 2007-05-17 |
| 1437772563 | Gloria H Liao | Pharmacist | 4301 Lien Rd, Madison, WI 53704-3608 | 2020-05-22 |
| 1275160483 | Adam Doebert | Pharmacist | 4301 Lien Rd, Madison, WI 53704-3608 | 2020-03-26 |
| 1992256986 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 Lien Rd, Madison, WI 53704-3608 | 2016-10-14 |
| 1467748129 | Annie Baeten | Pharmacist | 4301 Lien Rd, T-1069, Madison, WI 53704-3608 | 2011-06-21 |
| 1336435130 | Tamela Lee Seabourne | Pharmacist | 4301 Lien Rd, Madison, WI 53704-3608 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1134631674 | J2lb LLC | Optometrist | 562 N Midvale Blvd, Madison, WI 53705-3238 | 2017-10-24 |
| 1699285478 | Myeyedr Optometry of Alabama LLC | Optometrist | 105 Brookridge Dr Ste F, Madison, AL 35758-7577 | 2017-10-05 |
| 1720506876 | Heritage Eye Care | Optometrist | 12181 County Line Rd Ste 190, Madison, AL 35758-7739 | 2017-09-08 |
| 1215387105 | Jagani Vision Associates | Optometrist | 106 Walking Trail Way, Madison, AL 35758-4818 | 2016-06-21 |
| 1104290816 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 747 Boston Post Rd, Madison, CT 06443-3044 | 2015-11-18 |
| 1740663855 | Active Life Eye Care, Od, Pa | Optometrist | 415 W Academy St, Madison, NC 27025-2005 | 2015-07-07 |
| 1790175479 | William Leslie Arnold | Optometrist | 111 Colony Crossing Way Ste 220, Madison, MS 39110-6834 | 2015-02-02 |
| 1548694235 | Stephanie Mccaig | Optometrist | 1 West Towne Mall, Madison, WI 53719 | 2013-08-29 |
| 1851723258 | Mary Elizabeth Chenault | Optometrist | 102 Intercom Dr, Madison, AL 35758-2638 | 2013-08-07 |
| Find all providers in MADISON | ||||
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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.