DR. BRAD HAROLD EWALD (NPI# 1396863387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396863387 |
| Entity Type | Individual |
| Full Name | DR. BRAD HAROLD EWALD |
| Credential | O.D. |
| Practice Address |
2900 S Main St Rice Lake WI 54868 |
| Practice Telephone | 7152341511 |
| Practice Fax Number | 7154341513 |
| Mailing Telephone | 7152341511 |
| Mailing Fax Number | 7154341513 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1347-035 | WI | Eye and Vision Services Providers |
| Street Address |
2900 S MAIN ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184727729 | Tarpenning & Associates | Optometrist | 2900 S Main St, Rice Lake, WI 54868 | 2006-09-07 |
| 1649507062 | Rice Lake Family Eyecare, LLC | Optometrist | 2900 S Main St, Suite Number 15, Rice Lake, WI 54868-2945 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| 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 |
|---|---|---|---|---|
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1184727729 | Tarpenning & Associates | Optometrist | 2900 S Main St, Rice Lake, WI 54868 | 2006-09-07 |
| 1871544106 | Larry Knutzen | Optometrist | 340 S Access Rd, Rice Lake, WI 54868-8572 | 2006-05-12 |
| 1063475879 | Todd C Swanson | Optometrist | 2900 S Wisconsin Ave, Rice Lake, WI 54868-8578 | 2006-04-11 |
| 1538142989 | Tillman Optometry LLC | Optometrist | 2304 S Main St, Rice Lake, WI 54868-2900 | 2005-11-21 |
| 1326576323 | Gabrielle Carmen Chan Smiley | Optometrist | 1801 W Knapp St Ste 3, Rice Lake, WI 54868-1381 | 2017-06-02 |
| 1497283493 | Michael Seebruck | Optometrist | 1801 W Knapp St Ste 3, Rice Lake, WI 54868-1381 | 2017-06-02 |
| 1215465083 | Northview Eye Associates LLC | Optometrist | 1801 W Knapp St Ste 3, Rice Lake, WI 54868 | 2017-05-24 |
| 1649507062 | Rice Lake Family Eyecare, LLC | Optometrist | 2900 S Main St, Suite Number 15, Rice Lake, WI 54868-2945 | 2009-11-05 |
| 1558477950 | Charles Kent Meng | Optometrist | 2900 S Wisconsin Ave, Rice Lake, WI 54868 | 2006-08-21 |
| Find all providers in RICE LAKE | ||||
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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.