I C 20 20 EAU CLAIRE INC (NPI# 1487710539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487710539 |
| Entity Type | Organization |
| Organization Name | I C 20 20 EAU CLAIRE INC |
| Other Organization Name | STERLING OPTICAL |
| Practice Address |
4054 Commonwealth Ave Eau Claire WI 54701-9000 |
| Practice Telephone | 7158331220 |
| Practice Fax Number | 7158331297 |
| Mailing Telephone | 7158331220 |
| Mailing Fax Number | 7158331297 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | JOHN DELAKIS (OWNER MANAGER) |
| Authorized Official Telephone | 7158331220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2275035 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38711700 | 05 |
| Other Name | Type Code |
|---|---|
| Sterling Optical | Doing Business As Name - Organization |
| Street Address |
4054 COMMONWEALTH AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245635473 | Elizabeth Spooner | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-10-30 |
| 1790107324 | Melissa Perkovich | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-01-16 |
| 1619226529 | Sara Bailey | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2012-09-06 |
| 1538449095 | Kiley Rene Jensen | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2011-08-27 |
| 1790949055 | John N Delakis | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-16 |
| 1891958609 | Jessica Jean Hegg | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1891958690 | Renee Mikel O'donnell | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1073726576 | Paul S Delakis | Optometrist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609067909 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 4605 London Rd, Eau Claire, WI 54701-9183 | 2007-08-05 |
| 1588720841 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4720 Golf Rd, Oakwood Mall, Eau Claire, WI 54701-8022 | 2006-12-29 |
| 1366526063 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 4800 Golf Road, Suite 127, Eau Claire, WI 54701 | 2006-10-25 |
| 1053418129 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4800 Golf Rd, Oakwood Mall, Eau Claire, WI 54701-8914 | 2006-09-20 |
| 1255997615 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 963 W Clairemont Ave, Eau Claire, WI 54701-6103 | 2019-05-11 |
| 1245508530 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4800 Golf Rd, Suite #127, Eau Claire, WI 54701-8914 | 2011-12-01 |
| 1871817288 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4800 Golf Rd, Oakwood Mall, Eau Claire, WI 54701-8914 | 2010-03-15 |
| 1073710968 | Medical Eye Clinic of Eau Claire | Eyewear Supplier (Equipment, not the service) | 2715 Damon St, Suite 200, Eau Claire, WI 54701-2634 | 2007-07-02 |
| 1306938881 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3649 S Hastings Way, Eau Claire, WI 54701-8182 | 2006-09-29 |
| 1457303448 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 963 W Clairemont Ave, Eau Claire, WI 54701-6103 | 2006-05-17 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on I C 20 20 EAU CLAIRE INC.
| 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.