DR. JILL ANDERSON & ASSOCIATES, LLC (NPI# 1275939621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275939621 |
| Entity Type | Organization |
| Organization Name | DR. JILL ANDERSON & ASSOCIATES, LLC |
| Practice Address |
422 N Main St Oshkosh WI 54901-4924 |
| Practice Telephone | 9202358500 |
| Practice Fax Number | 9203035547 |
| Mailing Telephone | 9202358500 |
| Mailing Fax Number | 9203035547 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | DR. JILL ANN ANDERSON (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 7153400496 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2651 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740500180 | Dr. Jill Anderson & Associates, LLC | Optometrist | 1000 N Westhill Blvd, Appleton, WI 54914-5792 | 2010-06-08 |
| Street Address |
422 N MAIN ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825445 | G F Jensen | Optometrist | 422 N Main St, Oshkosh, WI 54901-4924 | 2005-10-20 |
| 1598188930 | G F Jensen | Eyewear Supplier (Equipment, not the service) | 422 N Main St, Oshkosh, WI 54901-4924 | 2014-01-21 |
| 1972941599 | G F Jensen | Eyewear Supplier (Equipment, not the service) | 422 N Main St, Oshkosh, WI 54901-4924 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| 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 |
|---|---|---|---|---|
| 1255477402 | Anderson Vision Center, Ltd. | Optometrist | 461 N Washburn St, Oshkosh, WI 54904-7812 | 2007-01-29 |
| 1063574812 | Garry G Brown | Optometrist | 719 Doctors Ct, Oshkosh, WI 54901-2077 | 2006-12-15 |
| 1649378142 | Donald P Ruck | Optometrist | 511 W Murdock Ave, Oshkosh, WI 54901-2213 | 2006-09-20 |
| 1366552663 | Dr J J Marsh Ltd | Optometrist | 2510 W. 9th Ave, Oshkosh, WI 54904-4907 | 2006-08-30 |
| 1003925892 | Eye Clinic of The Fox Valley Sc | Optometrist | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-08-29 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1043262322 | Nathan Paul Forst | Optometrist | 1300 S. Koeller Road, Oshkosh, WI 54902-6196 | 2006-05-16 |
| 1356328645 | Jennifer Marie Reiland | Optometrist | 423 N Main St, Oshkosh, WI 54901-4907 | 2005-12-28 |
| 1215928924 | Richard E Ames | Optometrist | 1951 Bowen St, Oshkosh, WI 54901-2357 | 2005-11-02 |
| 1205825445 | G F Jensen | Optometrist | 422 N Main St, Oshkosh, WI 54901-4924 | 2005-10-20 |
| Find all providers in OSHKOSH | ||||
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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.