AURORA HEALTH CARE VENTURES, INC. (NPI# 1285654012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285654012 |
| Entity Type | Organization |
| Organization Name | AURORA HEALTH CARE VENTURES, INC. |
| Practice Address |
205 Valley Ave West Bend WI 53095-5312 |
| Practice Telephone | 2623068165 |
| Practice Fax Number | 2623068167 |
| Mailing Telephone | 2623068165 |
| Mailing Fax Number | 2623068167 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | NAN NELSON (SVP) |
| Authorized Official Telephone | 4142991610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38454000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053331884 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-07-21 |
| 1245251016 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 2600 Kiley Way, Suite 1300, Plymouth, WI 53073-5020 | 2006-07-21 |
| 1972524718 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Memorial Dr, Suite 200, Two Rivers, WI 54241-3923 | 2006-07-21 |
| 1447270889 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 1640 E Sumner St, Suite 1, Hartford, WI 53027-2684 | 2006-07-20 |
| 1568482909 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 700 N Westhaven Dr, Suite 100, Oshkosh, WI 54904-6947 | 2006-07-20 |
| Street Address |
205 VALLEY AVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225006695 | Angela M Sweeney | Nurse Practitioner | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-03-10 |
| 1619328622 | Deirdre Tobin | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2016-06-30 |
| 1447644745 | Raheel Mody | Family Medicine | 205 Valley Ave, West Bend, WI 53095 | 2015-03-24 |
| 1346593266 | Warren W Samplaski | Pharmacist | 205 Valley Ave, West Bend, WI 53095-5312 | 2012-10-16 |
| 1841598364 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 205 Valley Ave, West Bend, WI 53095-5312 | 2011-03-08 |
| 1356665236 | Nausheen Abbas | Ophthalmology | 205 Valley Ave, West Bend, WI 53095-5312 | 2010-03-20 |
| 1245404771 | Vaishali Zala | Dietitian, Registered | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1588838049 | Jennifer Hagel | Counselor | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1417132069 | Sandra A Stockhausen | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-01-02 |
| 1982888400 | Lenore Elizabeth Brahm | Family Medicine | 205 Valley Ave, West Bend, WI 53095-5312 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1609957620 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 1437 S. Main Street, West Bend, WI 53095 | 2006-10-17 |
| 1326090341 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 1710 S Main St, West Bend, WI 53095-4938 | 2006-05-17 |
| 1730466277 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1437 S Main St, West Bend, WI 53095-4931 | 2011-11-11 |
| 1710289608 | Earl W Nepple M.d. | Eyewear Supplier (Equipment, not the service) | 1201 Oak St, West Bend, WI 53095-3800 | 2010-11-26 |
| 1881749919 | West Bend Clinic | Eyewear Supplier (Equipment, not the service) | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
| 1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
| 1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
| 1710598032 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 631 Hometown Cir Ste 106, Verona, WI 53593-1561 | 2020-08-11 |
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1669013256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 123 N Mall Dr, Grand Chute, WI 54913-8531 | 2019-10-04 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
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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.