DR. JEREMY MICHAEL GOETSCH (NPI# 1467696526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467696526 |
| Entity Type | Individual |
| Full Name | DR. JEREMY MICHAEL GOETSCH |
| Credential | O.D. |
| Practice Address |
412 3rd St Mosinee WI 54455-1425 |
| Mailing Address |
408 N 3rd St Ste 305 Wausau WI 54403-5455 |
| Practice Telephone | 7156932400 |
| Practice Fax Number | 7156934699 |
| Mailing Telephone | 6082391218 |
| Mailing Fax Number | 7158034010 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3146-35 | WI | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6231 Mckee Rd Ste C, Fitchburg, WI 537195177 | 6082732020 | 6082344330 |
| 4301 Lien Rd, Madison, WI 537043608 | 6083275382 | 6084674556 |
| 43 E Towne Mall, Madison, WI 537043711 | 6082422413 | 6084674556 |
| 1001 Cormier Rd, Green Bay, WI 543044404 | 9204995873 | 6084674556 |
| Street Address |
412 3RD ST |
| City | MOSINEE |
| State | WI |
| Zip Code | 54455-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033157953 | Kathi Leach | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2006-06-03 |
| 1699051052 | Midline Vision Group LLC | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2011-10-31 |
| 1295923977 | Leach Eye Care | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459650 | Cameron Lee Mayfield | Student in an Organized Health Care Education/Training Program | 902 Kronenwetter Drive, Apt. 9, Mosinee, WI 54455 | 2020-02-12 |
| 1477073708 | Heather Samantha Laffin | Registered Nurse | 675 Ridge Road, Trailer 214, Mosinee, WI 54455 | 2017-06-27 |
| 1497296388 | Heidi Gwidt | Registered Nurse | 2045 1/2 S. Cty. Rd. X, Mosinee, WI 54455 | 2017-03-13 |
| 1578819256 | Rebecca Lynn Deffner | Nurse Practitioner | 1881 County Trunk Xx, Mosinee, WI 54455 | 2012-07-31 |
| 1770757668 | Peoplefirst | Skilled Nursing Facility | 681 South Highway X, Mosinee, WI 54455 | 2008-04-22 |
| 1134310063 | George A Knoedler | Dentist | 1103 Pine St, Mosinee, WI 54455 | 2007-08-06 |
| 1770785388 | Diana R Michlig | Registered Nurse | 1634 Hwy B, Mosinee, WI 54455 | 2007-06-05 |
| 1558461715 | Leah J Bouton | Physical Therapist | 390 Orbiting Drive, Mosinee, WI 54455 | 2006-09-25 |
| 1578660965 | Ryan L Miller | Chiropractor | 107 Maple St, Mosinee, WI 54455 | 2006-09-20 |
| 1942307327 | Charles N Heike | Chiropractor | 107 Maple Street, Mosinee, WI 54455 | 2006-09-20 |
| Find all providers in zip 54455 | ||||
| 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 |
|---|---|---|---|---|
| 1033157953 | Kathi Leach | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2006-06-03 |
| 1699051052 | Midline Vision Group LLC | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2011-10-31 |
| 1295923977 | Leach Eye Care | Optometrist | 412 3rd St, Mosinee, WI 54455-1425 | 2007-10-09 |
| 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 |
| 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.