ST. CROIX TRIBAL COUNCIL (NPI# 1366654980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366654980 |
| Entity Type | Organization |
| Organization Name | ST. CROIX TRIBAL COUNCIL |
| Other Organization Name | ST. CROIX TRIBAL OPTICAL |
| Practice Address |
4404 State Road 70 Webster WI 54893-9251 |
| Practice Telephone | 7153498554 |
| Practice Fax Number | 7153492559 |
| Mailing Telephone | 7153498554 |
| Mailing Fax Number | 7153492559 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TRACI LYNN KANKE (OPTICAL ASSISTANT) |
| Authorized Official Telephone | 7153498554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2728-035 | WI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| St. Croix Tribal Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1659582211 | St. Croix Tribal Council | Clinical Medical Laboratory | 4404 State Road 70, Webster, WI 54893-9251 | 2007-05-25 |
| 1013128685 | St. Croix Tribal Council | Dentist | 4404 State Road 70, Webster, WI 54893-9251 | 2007-05-25 |
| 1831170091 | St. Croix Tribal Council | Clinic/Center | 4404 State Road 70, Webster, WI 54893-9251 | 2005-11-07 |
| Street Address |
4404 STATE ROAD 70 |
| City | WEBSTER |
| State | WI |
| Zip Code | 54893-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233350 | St. Croix Tribal Behavioral Health Clinic | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2005-08-24 |
| 1124678818 | Muskadee Linda Montano | Social Worker | 4404 State Road 70, Webster, WI 54893-9251 | 2019-09-16 |
| 1194380543 | Deborah Ann Knutsen | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2019-05-01 |
| 1316415516 | Sandra Johnson | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-11-06 |
| 1801371190 | Dianna Kay Stumph | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1184109597 | Lona Marie Noll | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1598245045 | Kimberly M Stypula | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-08-15 |
| 1881171601 | Penny Lynn Bearheart | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2018-07-24 |
| 1720573082 | Susan Evelyn Merchant | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-28 |
| 1538652383 | Kayce R Rachner | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288711 | Jamie Ruiz | Licensed Practical Nurse | 27105 Lily Lake Rd, Webster, WI 54893 | 2009-07-21 |
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1851421903 | St Croix Falls Eye Associates | Optometrist | 7440 Main St West, Webster, WI 54893 | 2007-03-07 |
| 1396823324 | Benjamin Dale Blowers | Chiropractor | 7461 Main St West, Webster, WI 54893-0095 | 2006-11-01 |
| 1699195065 | Shannon Steiner | Licensed Practical Nurse | 8757 Perida Rd, Webster, WI 54893-7422 | 2014-04-23 |
| 1861662678 | Cary Mitchell Behm | Chiropractor | 26768 Lakeland Ave N, Webster, WI 54893-8106 | 2008-03-07 |
| 1174673511 | John W Ingalls | Family Medicine | 7456 Main St W, Webster, WI 54893-8205 | 2007-01-10 |
| 1265950240 | Erin M Vogland | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2017-08-30 |
| 1255627972 | Leah B Jacobs | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2011-06-21 |
| 1477843258 | Kathryn Ann Freese | Physical Therapy Assistant | 7456 Main St W, Webster, WI 54893-8205 | 2011-04-13 |
| Find all providers in zip 54893 | ||||
| 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 |
|---|---|---|---|---|
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1144788282 | Today's Vision Bay Area, PC | Optometrist | 19335 Gulf Fwy Ste 6, Webster, TX 77598-2811 | 2019-03-07 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1427431188 | Aisha Arshad | Optometrist | 1028 Ridge Rd, Suite 104, Webster, NY 14580-2973 | 2015-06-30 |
| 1033547203 | Clear Lake Eye Center | Optometrist | 17040 Highway 3, Webster, TX 77598-4129 | 2013-10-24 |
| 1568717171 | Kimberly Heiligman | Optometrist | 24 Dangelo Dr, Webster, NY 14580-8531 | 2012-07-19 |
| 1699084905 | Thomas John Thomas IIi | Optometrist | 100 E Nasa, Suite 70, Webster, TX 77598-5346 | 2010-10-04 |
| 1295988301 | Diane Cappoli | Optometrist | 18 Negus St., Webster, MA 01570 | 2008-11-03 |
| 1265613897 | Melissa M. Sommers, Od, PC | Optometrist | 100 E Nasa Ste 70, Webster, TX 77598-5300 | 2007-11-26 |
| 1235252164 | Joe Michael Salazar | Optometrist | 1209 W Bay Area Blvd, Today's Vision Baybrook Associates, P.a., Webster, TX 77598-3832 | 2007-04-07 |
| Find all providers in WEBSTER | ||||
Please comment or provide details below to improve the information on ST. CROIX TRIBAL COUNCIL.
| 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.