SHEBOYGAN OPTICAL CO. LLC (NPI# 1356465785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356465785 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN OPTICAL CO. LLC |
| Practice Address |
1442 N 31st St Sheboygan WI 53081-3061 |
| Practice Telephone | 9204585096 |
| Practice Fax Number | 9204511085 |
| Mailing Telephone | 9204585096 |
| Mailing Fax Number | 9204511085 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | DR. CHRISTOPHER LARSON (OWNER) |
| Authorized Official Telephone | 9204585096 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1442 N 31ST ST |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869520 | Kathleen Mary Haasch | Audiologist | 1442 N 31st St, Sheboygan, WI 53081 | 2005-05-23 |
| 1457960866 | Charlene Renee Lemons | Audiologist-Hearing Aid Fitter | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2020-07-31 |
| 1851882187 | Jordyn Grace Matuschka | Optometrist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2018-05-22 |
| 1578900064 | Ashley J Hoerth | Audiologist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2013-05-24 |
| 1609184365 | Todd Robert Larson | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2010-09-15 |
| 1861727562 | Joseph Daniel Aussem | Audiologist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2009-10-14 |
| 1558318659 | Kathryn A Green Md, Sc | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-05-27 |
| 1316997513 | Advanced Hearing Aid & Audiology Associates, LLC | Audiologist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-05-11 |
| 1710953609 | Andrew C Lavey | Optometrist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-02-28 |
| 1750358693 | Christopher L Larson | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1780698084 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 3347 Kohler Memorial Dr, Sheboygan, WI 53081-8305 | 2006-07-29 |
| 1831141746 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 518 S Taylor Dr, Sheboygan, WI 53081-4253 | 2006-05-17 |
| 1053331884 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-07-21 |
| 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.