AURORA HEALTH CARE VENTURES INC. (NPI# 1558519207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558519207 |
| Entity Type | Organization |
| Organization Name | AURORA HEALTH CARE VENTURES INC. |
| Other Organization Name | AURORA VISION CENTER - HARTLAND |
| Practice Address |
600 Walnut Ridge Dr Suite 216 Hartland WI 53029-9385 |
| Practice Telephone | 2623696925 |
| Practice Fax Number | 2623696922 |
| Mailing Telephone | 2623696925 |
| Mailing Fax Number | 2623696922 |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | MARY R PANTEL (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9208033266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38461600 | 05 |
| Other Name | Type Code |
|---|---|
| Aurora Vision Center - Hartland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932565868 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 1777 W Grand Ave, Suite 103, Port Washington, WI 53074-2077 | 2016-01-07 |
| 1376791020 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 36500 Aurora Dr, Suite 130, Summit, WI 53066-4899 | 2008-09-07 |
| Street Address |
600 WALNUT RIDGE DR SUITE 216 |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184603755 | Fawad Khan | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2006-01-12 |
| 1487103198 | Wiaam Taha | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2016-09-23 |
| 1043692627 | Samuel Seunghoon Yoon | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2015-06-19 |
| 1609055623 | Aurora Medical Group, Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-26 |
| 1972792182 | Christine B Groth | Pharmacist | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-24 |
| 1598959967 | Veena V Gonuguntla | Pediatrics | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-08-29 |
| 1497978621 | Jill A Holz | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-04-10 |
| 1053479287 | Aurora Medical Group,inc. | Durable Medical Equipment & Medical Supplies | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2006-12-04 |
| 1427165620 | Kristin J Simons | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-24 |
| 1467567602 | Donna R Daufenbach | Ophthalmology | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| 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 |
|---|---|---|---|---|
| 1609055623 | Aurora Medical Group, Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
| 1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
| 1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
| 1710598032 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 631 Hometown Cir Ste 106, Verona, WI 53593-1561 | 2020-08-11 |
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1669013256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 123 N Mall Dr, Grand Chute, WI 54913-8531 | 2019-10-04 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 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.