JOHN S PURDUE (NPI# 1467456830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467456830 |
| Entity Type | Individual |
| Full Name | JOHN S PURDUE |
| Credential | OD |
| Practice Address |
3111 Gundersen Drive Onalaska WI 54650-8512 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087968630 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1826 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38517500 | 05 |
| Street Address |
3111 GUNDERSEN DRIVE |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-8512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797106 | Sarah S Naik | Internal Medicine | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-01 |
| 1578981486 | Whitney Christine Jandl | Specialist/Technologist | 3111 Gundersen Drive, Onalaska, WI 54650 | 2014-03-29 |
| 1851385199 | Joseph Edward La Mere | Specialist/Technologist | 3111 Gundersen Drive, Onalaska, WI 54650 | 2005-09-01 |
| 1144225517 | Jonathan S Straker | Physical Therapist | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-14 |
| 1376548768 | James L Tomlin | Physician Assistant | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-14 |
| 1710981154 | Ellen M Ott | Nurse Practitioner | 3111 Gundersen Drive, Onalaska, WI 54650 | 2005-06-13 |
| 1942204342 | Nancy R Rowe | Nurse Practitioner | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-13 |
| 1174527790 | Stephen W Maden | Physical Therapist | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-10 |
| 1295739084 | Shannan K Stephens | Obstetrics & Gynecology | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-09 |
| 1790789584 | Thomas N Roberts | Pediatrics | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1023193026 | Summerfield Vision Care LLC | Optometrist | 201 Sand Lake Road, Onalaska, WI 54650 | 2006-10-26 |
| 1679668867 | Robert D Ruprecht | Optometrist | 3107 Market Place, Onalaska, WI 54650 | 2006-10-04 |
| 1235143496 | Lewis A Landsman | Optometrist | 13831 Hwy 190, Onalaska, TX 77360-2483 | 2006-07-27 |
| 1245515543 | Sarah A Clements | Optometrist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2011-10-18 |
| 1194956748 | Onalaska Vision Associates, Inc. | Optometrist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2009-07-30 |
| 1730360470 | Lewis A. Landsman, Od, PC | Optometrist | 13831 Hwy 190, Onalaska, TX 77360-2483 | 2007-11-23 |
| 1053301598 | Dean A Wetzel | Optometrist | 191 Theater Rd, Onalaska, WI 54650-8679 | 2005-10-26 |
| 1124018635 | Douglas J Wesely | Optometrist | 191 Theater Rd, Onalaska, WI 54650 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
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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.