DEAN RETAIL SERVICES, INC. (NPI# 1588785687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588785687 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSM HEALTH DAVIS DUEHR DEAN EYE CARE - REGENT STREET, MADISON |
| Practice Address |
1025 Regent St Suite 200 Madison WI 53715-1248 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6082822200 |
| Practice Fax Number | 6082823922 |
| Mailing Telephone | 6082946218 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | AMY J GRINNELL (VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 384-40-900 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Davis Duehr Dean Eye Care - Regent Street, Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052211 | Dean Retail Services, Inc. | Pharmacy | 310 Integrity Dr, Madison, WI 53717-1416 | 2020-04-20 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1972082881 | Dean Retail Services, Inc. | Pharmacy | 2825 Hunters Trl Ste 300, Portage, WI 53901-3429 | 2018-08-10 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1457461147 | Dean Retail Services, Inc. | Pharmacy | 753 N. Main St, Suite 300, Oregon, WI 53575-1003 | 2006-08-30 |
| 1780794479 | Dean Retail Services, Inc. | Pharmacy | 752 N. High Point Rd, Suite 300, Madison, WI 53717-2236 | 2006-08-30 |
| 1407966195 | Dean Retail Services, Inc. | Pharmacy | 1821 S. Stoughton Rd., Suite 300, Madison, WI 53716-2257 | 2006-08-30 |
| 1992815682 | Dean Retail Services, Inc. | Pharmacy | 3200 East Racine Street, Suite 300, Janesville, WI 53546-2343 | 2006-08-30 |
| 1124450416 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1300 S Century Ave, Suite 200, Waunakee, WI 53597-2386 | 2013-08-08 |
| Street Address |
1025 REGENT ST SUITE 200 |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303303 | Neal Joseph Janquart | Anesthesiology | 1025 Regent St, Davis Duehr Dean Medical Center, Madison, WI 53715-1248 | 2005-11-15 |
| 1992326995 | Noelle Bock | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2020-04-30 |
| 1477113025 | Joseph Isik | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2019-06-17 |
| 1336597079 | Trevor J Fosso | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2016-06-02 |
| 1962885012 | Andrew Kornaus | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2015-07-08 |
| 1194107649 | Jaclyn Beth Gurwin | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2015-06-22 |
| 1205237419 | Lynnette Olrick-bielinski | Registered Nurse | 1025 Regent St, Madison, WI 53715-1248 | 2014-09-07 |
| 1831531557 | Andrea C So | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2013-07-23 |
| 1851736037 | Wesley C Green | Ophthalmology | 1025 Regent St, Madison, WI 53715 | 2013-05-01 |
| 1255686846 | Christopher M Pruet | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1306971767 | Neill Vision Inc | Technician/Technologist | 7779 Highway 72 West, Madison, AL 35758 | 2007-02-23 |
| 1447398649 | Wisconsin Vision, Inc. | Technician/Technologist | 5505 Odana Rd, Madison, WI 53719-1205 | 2007-02-01 |
| 1518005719 | Wisconsin Vision, Inc | Technician/Technologist | 2612 E Washington Ave, Madison, WI 53704-5026 | 2007-02-01 |
| 1659426252 | Richard Charles Luke | Technician/Technologist | 1410 Eatonton Rd, Madison, GA 30650-4600 | 2007-01-24 |
| 1083791495 | Patrick Joseph Moriarty | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2006-11-01 |
| 1922358225 | Wal-mart Stores East Lp | Technician/Technologist | 8580 Highway 72 W, Madison, AL 35758-9578 | 2012-09-13 |
| 1689841231 | Madison Optical | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2008-05-13 |
| Find all providers in MADISON | ||||
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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.