DR. STEVEN LEE NOTTLESON (NPI# 1215996723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215996723 |
Entity Type | Individual |
Full Name | DR. STEVEN LEE NOTTLESON |
Credential | O.D. |
Practice Address |
1545 Main St Marinette WI 54143-1334 |
Practice Telephone | 7157353012 |
Practice Fax Number | 7157353636 |
Mailing Telephone | 7157353012 |
Mailing Fax Number | 7157353636 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2017-05-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1960 | WI | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GROUP PTAN | DG8179 | 01 | |
GROUP NPI | 1871667220 | 01 | |
WI | 38523200 | 05 | |
TAX ID | 39-1548019 | 01 |
Street Address |
1545 MAIN ST |
City | MARINETTE |
State | WI |
Zip Code | 54143-1334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
Find all providers in zip 54143 |
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 |
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 |
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 |
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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.