SHAWN MARQUARDT (NPI# 1447425244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447425244 |
| Entity Type | Individual |
| Full Name | SHAWN MARQUARDT |
| Practice Address |
28 South Tomahawk Ave Tomahawk WI 54487-1223 |
| Practice Telephone | 7152242200 |
| Mailing Telephone | 7152242200 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
28 SOUTH TOMAHAWK AVE |
| City | TOMAHAWK |
| State | WI |
| Zip Code | 54487-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912170564 | Tracey Jane Wise | Speech-Language Pathologist | 702 E King Rd, Tomahawk, WI 54487 | 2008-04-03 |
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1548463813 | Dewey Nickels Reilly | Dentist | 1018 Kings Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1972723716 | Northern Sight Vision Clinic, LLC | Optometrist | 318 N. 6th Street, Tomahawk, WI 54487 | 2007-04-26 |
| 1003974411 | Larry A Hagen | Optometrist | 318 North 6th St, Tomahawk, WI 54487 | 2006-12-05 |
| 1922174648 | Robert David Imm | Dentist | 318 N Sixth St, Tomahawk, WI 54487 | 2006-11-27 |
| 1962480707 | Stoxen Pharmacy | Pharmacy | 12 W Wisconsin Avenue, Tomahawk, WI 54487 | 2006-01-03 |
| 1841670015 | Jill Vanstrydonk | Physical Therapy Assistant | 202 W Mohawk Dr, Ministry Head 2 Toe Therapy, Tomahawk, WI 54487 | 2015-06-03 |
| 1063615342 | Reilly Family Dental LLC | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1780887067 | Dewey Irving Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| Find all providers in zip 54487 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750556049 | Tomahawk Eye Care | Technician/Technologist | 28 S Tomahawk Ave, Tomahawk, WI 54487-1223 | 2008-04-28 |
| 1235202318 | Tomahawk Eye Care Inc | Technician/Technologist | 1334 N 4th St, Suite 101, Tomahawk, WI 54487-2137 | 2006-11-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.