LARSON EYE CARE SC (NPI# 1629039961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629039961 |
| Entity Type | Organization |
| Organization Name | LARSON EYE CARE SC |
| Practice Address |
1442 N 14 Street Sheboygan WI 53081 |
| Practice Telephone | 9204525400 |
| Practice Fax Number | 9204521920 |
| Mailing Telephone | 9204525400 |
| Mailing Fax Number | 9204521920 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTOPHER L LARSON (PRESIDENT) |
| Authorized Official Telephone | 9204525400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32866800 | 05 |
| Street Address |
1442 N 14 STREET |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457654261 | Jean H. Schott, M.d., S.c. | Ophthalmology | 2209 S Memorial Pl, Sheboygan, WI 53081-3715 | 2010-12-16 |
| 1407942410 | Jean Harriet Schott-wagner | Ophthalmology | 2209 South Memorial Place, Sheboygan, WI 53081 | 2006-10-05 |
| 1316049265 | Ajay K Gupta | Ophthalmology | 2414 Kohler Memorial Dr Ste 230, Sheboygan, WI 53081-3129 | 2006-09-02 |
| 1316394596 | Abby Vercio | Ophthalmology | 3113 Saemann Ave, Sheboygan, WI 53081-1957 | 2016-05-18 |
| 1609184365 | Todd Robert Larson | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2010-09-15 |
| 1215044128 | Larry M Zweben | Ophthalmology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1558318659 | Kathryn A Green Md, Sc | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-05-27 |
| 1750358693 | Christopher L Larson | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2006-02-28 |
| 1134129497 | Kathryn A Green | Ophthalmology | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
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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.