CHIPPEWA VALLEY EYE CLINIC CHIPPEWA FALLS SC (NPI# 1487710638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487710638 |
| Entity Type | Organization |
| Organization Name | CHIPPEWA VALLEY EYE CLINIC CHIPPEWA FALLS SC |
| Practice Address |
2525 County Highway I Chippewa Falls WI 54741 |
| Mailing Address |
2525 County Highway I Chippewa Falls WI 54729 |
| Practice Telephone | 7157239375 |
| Practice Fax Number | 7157231092 |
| Mailing Telephone | 7157239375 |
| Mailing Fax Number | 7157231092 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETER W HOLM (PRESIDENT) |
| Authorized Official Telephone | 7157239375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Street Address |
2525 COUNTY HIGHWAY I |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508826918 | David P Sutton | Ophthalmology | 2525 County Highway I, Chippewa Falls, WI 54729-1422 | 2006-03-28 |
| 1073845632 | Christopher J Pals | Technician/Technologist | 2525 County Highway I, Chippewa Falls, WI 54729-1422 | 2010-02-08 |
| 1790959815 | Amy Ellen Boettcher | Technician/Technologist | 2525 County Highway I, Chippewa Falls, WI 54729-1422 | 2008-04-18 |
| 1477727584 | Mark A Brasseur | Technician/Technologist | 2525 County Highway I, Chippewa Falls, WI 54729-1422 | 2008-04-18 |
| 1295844983 | Peter W Holm | Ophthalmology | 2525 County Highway I, Chippewa Falls, WI 54729 | 2006-08-29 |
| 1396854097 | Jeffrey F Brown | Ophthalmology | 2525 County Highway I, Chippewa Falls, WI 54729 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033247879 | Rhiannon R Bertrang | Licensed Practical Nurse | 101 S Hill St, Fairchild, WI 54741-8263 | 2007-03-02 |
| 1881173730 | Elizabeth Rose Fedje | Licensed Practical Nurse | 300 S Center St, Fairchild, WI 54741-8280 | 2018-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854338 | Linda Marie Haley | Registered Nurse | 416 Terrace Dr, Chippewa Falls, WI 54729-3357 | 2020-09-07 |
| 1326652991 | Mary E Barneson | Registered Nurse | 16416 35th Ave, Chippewa Falls, WI 54729-9658 | 2020-09-01 |
| 1003424169 | Chippewa Falls Rcac, LLC | Assisted Living Facility | 1224 Pumphouse Rd, Chippewa Falls, WI 54729-4088 | 2020-07-15 |
| 1104440734 | Jenna Marie Mattson | Student in an Organized Health Care Education/Training Program | 16411 90th Ave, Chippewa Falls, WI 54729-5268 | 2020-05-29 |
| 1417594524 | Stacey Gunderson | Massage Therapist | 4751 W Park Ave, Chippewa Falls, WI 54729-2752 | 2019-12-08 |
| 1083265961 | Krysten Rohlik | Counselor | 17424 109th Ave, Chippewa Falls, WI 54729-5370 | 2019-09-23 |
| 1043865603 | On-site Chiropractic LLC | Chiropractor | 2029 County Highway I Ste 5, Chippewa Falls, WI 54729-4420 | 2019-08-09 |
| 1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
| 1598321960 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3022 Commercial Blvd, Chippewa Falls, WI 54729-5078 | 2019-05-11 |
| 1205392875 | Richard William Polzin | Acupuncturist | 1791 County Highway Oo, Chippewa Falls, WI 54729-5347 | 2019-02-19 |
| Find all providers in CHIPPEWA FALLS | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261489 | The Cataract Vision Institute LLC | Clinic/Center | 400 N Executive Dr, Suite 101, Brookfield, WI 53005-6068 | 2016-08-26 |
| 1700907045 | Wisconsin Retina, S.c. | Clinic/Center | 2600 N Mayfair Rd Ste 350, Milwaukee, WI 53226-1372 | 2007-04-03 |
| 1043836182 | Independent Vision Group, Ltd | Clinic/Center | 1115 E Lowes Creek Rd, Eau Claire, WI 54701-7439 | 2020-06-24 |
| 1922247857 | Brookfield Sightlab, Ltd. | Clinic/Center | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2009-02-17 |
| 1568494466 | St. Marys Dean Ventures Inc. | Clinic/Center | 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501 | 2006-07-07 |
| City | CHIPPEWA FALLS |
| Zip Code | 54741 |
Please comment or provide details below to improve the information on CHIPPEWA VALLEY EYE CLINIC CHIPPEWA FALLS SC.
| 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.