PRIMARY EYE CARE, S.C. (NPI# 1386771624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386771624 |
| Entity Type | Organization |
| Organization Name | PRIMARY EYE CARE, S.C. |
| Practice Address |
250 N Metro Dr Appleton WI 54913-8571 |
| Practice Telephone | 9208302020 |
| Practice Fax Number | 9208301118 |
| Mailing Telephone | 9208302020 |
| Mailing Fax Number | 9208301118 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN CHARLES WINTER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9208302020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | WI | Eye and Vision Services Providers |
| Street Address |
250 N METRO DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253607 | Kim Alice Roltgen | Counselor | 250 N Metro Dr, Appleton, WI 54913-8571 | 2020-07-23 |
| 1851623961 | Alexander Eye Surgery Center, LLC | Clinic/Center | 250 N Metro Dr, Appleton, WI 54913-8571 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| 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 |
|---|---|---|---|---|
| 1629636105 | Steven Michael Mccarty | Optometrist | 4784 W Integrity Way, Appleton, WI 54913-8464 | 2019-05-30 |
| 1609330505 | Insight Eye Care, LLC | Optometrist | 509 Chain Dr, Appleton, WI 54915-1437 | 2019-01-24 |
| 1548558869 | Aaron R Gruber | Optometrist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2011-07-20 |
| 1770870602 | Angela M Rodriguez | Optometrist | 21 Park Place, Appleton, WI 54914-8872 | 2011-06-29 |
| 1336435445 | Catherine Loughrin | Optometrist | 1033 W Northland Ave Ste B, Appleton, WI 54914-1499 | 2011-06-27 |
| 1477780914 | Conroy Eye Care, Pa | Optometrist | 229 N Miles St, Appleton, MN 56208-1318 | 2009-06-11 |
| 1346333176 | Christopher D Smith | Optometrist | 223 S Nicolet Rd, Appleton, WI 54914-3938 | 2006-10-02 |
| 1104919869 | Sullivan Eye Center, S.c. | Optometrist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2006-10-02 |
| 1407966658 | Joseph John Krupka | Optometrist | 955 Mutual Way, Appleton, WI 54913-8415 | 2006-08-30 |
| 1154363158 | Eric J Thiem | Optometrist | 2535 Northern Rd, Appleton, WI 54914-8753 | 2006-06-12 |
| Find all providers in APPLETON | ||||
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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.