NORTHEAST WISCONSIN VISION CENTER, LTD (NPI# 1366649030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366649030 |
| Entity Type | Organization |
| Organization Name | NORTHEAST WISCONSIN VISION CENTER, LTD |
| Practice Address |
1080 W Fond Du Lac St Ripon WI 54971-9286 |
| Mailing Address |
Po Box 2723 Oshkosh WI 54903-2723 |
| Practice Telephone | 9207481497 |
| Practice Fax Number | 9207481492 |
| Mailing Telephone | 9202326550 |
| Mailing Fax Number | 9202326552 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHEN J MERFELD (PRESIDENT) |
| Authorized Official Telephone | 9202326550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790905073 | Northeast Wisconsin Vision Center, Ltd | Technician/Technologist | 1885 West Pointe Dr, Oshkosh, WI 54902-4174 | 2007-04-27 |
| Street Address |
1080 W FOND DU LAC ST |
| City | RIPON |
| State | WI |
| Zip Code | 54971-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796678 | Linda Ahrens | Registered Nurse | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-03 |
| 1326493602 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-04-25 |
| 1730542408 | Thedacare, Incorporated | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-03-31 |
| 1093132276 | Rachel M Kurinsky | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2014-03-25 |
| 1700222064 | Steven Taylor Rasmussen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2013-05-14 |
| 1013274356 | Sandralee S Quade | Nurse Practitioner | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2012-04-11 |
| 1003115064 | Community Health Network Inc | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2011-03-16 |
| 1649446105 | Lori Ann Badtke | Physical Therapist | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2008-05-05 |
| 1497747885 | Cheryl J Iverson | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-22 |
| 1699767301 | Paul D Nelsen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1336667526 | Cooperleaf Management Group | Assisted Living Facility | 1002 Eureka Street, Ripon, WI 54971 | 2017-09-07 |
| 1750618062 | Midel Incorporated | Assisted Living Facility | 530 North Union St., Ripon, WI 54971 | 2009-11-06 |
| 1073847471 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 790 Eastgate Dr, Ripon, WI 54971 | 2009-10-01 |
| 1598963415 | Joan Frances Nault I | Dentist | 702 E. Fond Du Lac St., Ripon, WI 54971 | 2007-07-03 |
| 1245366145 | Kathleen A Schumacher | Music Therapist | 1881 Rabbit Trail Road, Ripon, WI 54971 | 2007-02-26 |
| 1275680555 | Chris Schattschneider | Specialist/Technologist | 933 Newbury St., Ripon, WI 54971 | 2007-01-05 |
| 1225114010 | Kurt W Piernot | Dentist | 106 Watson St, Ripon, WI 54971 | 2006-10-27 |
| 1154427250 | Sarah Ann Heyn | Social Worker | 723 Chester Court, Ripon, WI 54971 | 2006-09-15 |
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| Find all providers in zip 54971 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
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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.