DEAN RETAIL SERVICES, INC. (NPI# 1124450416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124450416 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSM HEALTH DAVIS DUEHR DEAN EYE CARE - WAUNAKEE |
| Practice Address |
1300 S Century Ave Suite 200 Waunakee WI 53597-2386 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6088494315 |
| Practice Fax Number | 6088501606 |
| Mailing Telephone | 6082946218 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | AMY J GRINNELL (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | WI | Suppliers | |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100032814 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Davis Duehr Dean Eye Care - Waunakee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052211 | Dean Retail Services, Inc. | Pharmacy | 310 Integrity Dr, Madison, WI 53717-1416 | 2020-04-20 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1972082881 | Dean Retail Services, Inc. | Pharmacy | 2825 Hunters Trl Ste 300, Portage, WI 53901-3429 | 2018-08-10 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1457461147 | Dean Retail Services, Inc. | Pharmacy | 753 N. Main St, Suite 300, Oregon, WI 53575-1003 | 2006-08-30 |
| 1780794479 | Dean Retail Services, Inc. | Pharmacy | 752 N. High Point Rd, Suite 300, Madison, WI 53717-2236 | 2006-08-30 |
| 1407966195 | Dean Retail Services, Inc. | Pharmacy | 1821 S. Stoughton Rd., Suite 300, Madison, WI 53716-2257 | 2006-08-30 |
| 1992815682 | Dean Retail Services, Inc. | Pharmacy | 3200 East Racine Street, Suite 300, Janesville, WI 53546-2343 | 2006-08-30 |
| 1851414601 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 752 N High Point Rd, Suite 200, Madison, WI 53717-2236 | 2007-04-09 |
| Street Address |
1300 S CENTURY AVE SUITE 200 |
| City | WAUNAKEE |
| State | WI |
| Zip Code | 53597-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427007723 | Barbara J Schlittler | Physician Assistant | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-06 |
| 1609263128 | Lucas W Kuehn | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597-2386 | 2015-04-22 |
| 1578862322 | Casey Thompson | Optometrist | 1300 S Century Ave, Waunakee, WI 53597 | 2011-03-18 |
| 1013139146 | John J Beaty | Physical Therapist | 1300 S Century Ave, Waunakee, WI 53597-2386 | 2007-05-02 |
| 1811020969 | Mathew Patrick Herbst | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2007-03-14 |
| 1306918644 | Suzanne J Dynneson | Nurse Practitioner | 1300 S Century Ave, Waunakee, WI 53597-2386 | 2006-11-14 |
| 1619984713 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 1300 S Century Ave, Waunakee, WI 53597 | 2006-08-02 |
| 1255372751 | Noelle K. Dowling | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2006-06-08 |
| 1043267172 | William H Ranum | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-27 |
| 1831144401 | Trent D Thompson | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689478 | Ashley Clemens | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2015-01-20 |
| 1821402595 | Gualberto Bisquera Mejia | Internal Medicine | 5936 Hogan Rd, Waunakee, WI 53597 | 2014-06-20 |
| 1972644706 | Jill M Mikkelson | Chiropractor | 1024 Quinn Drive, Waunakee, WI 53597 | 2007-02-12 |
| 1790823409 | Linda Anita Ballweg | Pharmacist | 208 Dorn Dr, Waunakee, WI 53597 | 2007-02-02 |
| 1457431611 | Phillip John Bakke | Chiropractor | 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 | 2006-10-16 |
| 1750342051 | Curtis W Bush | Family Medicine | 208 S Century St, Waunakee, WI 53597 | 2006-03-28 |
| 1104358282 | Stonetree Therapy LLC | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2017-03-29 |
| 1801420351 | Lea Kraus | Pharmacist | 401 W Main St, Waunakee, WI 53597-1101 | 2020-02-24 |
| 1699052316 | William Edward Emmons | Pharmacist | 401 W Main St, Waunakee, WI 53597-1101 | 2011-11-09 |
| 1972889277 | Jennifer Hoffman | Pharmacist | 401 W Main St, Waunakee, WI 53597-1101 | 2011-10-31 |
| Find all providers in zip 53597 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| 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.