ADVANCED FOCUS EYECARE LLC (NPI# 1508242256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508242256 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOCUS EYECARE LLC |
| Practice Address |
1116 N Main St West Bend WI 53090-1923 |
| Practice Telephone | 2623666370 |
| Mailing Telephone | 2623666370 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | MICHAEL BARDENWERPER (OWNER/SOLE MEMBER) |
| Authorized Official Telephone | 2623666370 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 325735 | WI | Eye and Vision Services Providers |
| Street Address |
1116 N MAIN ST |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801150552 | Michael J Bardenwerper | Optometrist | 1116 N Main St, West Bend, WI 53090-1923 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| 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 |
|---|---|---|---|---|
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1023138922 | West Bend Optical, Inc | Optometrist | 3720 W. Washington St., West Bend, WI 53095-8406 | 2007-04-02 |
| 1043387467 | Jerry Alan Olson | Optometrist | 3720 W. Washington Street, West Bend, WI 53095 | 2006-11-29 |
| 1811980568 | Mark R Meuler | Optometrist | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2005-08-29 |
| 1730593310 | Lisa La Susa | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2014-06-11 |
| 1902238116 | Poj-laim Hu Xiong | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2013-07-30 |
| 1801150552 | Michael J Bardenwerper | Optometrist | 1116 N Main St, West Bend, WI 53090-1923 | 2012-06-27 |
| 1649335662 | William Dick | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2006-12-27 |
| 1134208010 | John F. Weaver | Optometrist | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-11-03 |
| 1831271667 | William H Molin | Optometrist | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-10-20 |
| Find all providers in WEST BEND | ||||
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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.