FLUEGGE OPTICAL (NPI# 1629235031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629235031 |
| Entity Type | Organization |
| Organization Name | FLUEGGE OPTICAL |
| Practice Address |
920 E Main Street Waterford WI 53185 |
| Practice Telephone | 2625346090 |
| Practice Fax Number | 2625342277 |
| Mailing Telephone | 2625346090 |
| Mailing Fax Number | 2625342277 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DALE SCOTT FLUEGGE (OWNER) |
| Authorized Official Telephone | 2625346090 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLUEGGE OPTICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
920 E MAIN STREET |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| 1356456545 | Christine M Dignan | Pediatrics | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| Find all providers in zip 53185 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538397419 | Elizabeth Fague | Technician/Technologist | 155 Waterford Parkway N., Waterford, CT 06385 | 2009-06-30 |
| 1023245776 | Bradley Peter Bohman | Technician/Technologist | Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385 | 2009-06-19 |
| 1609048172 | Koc Inc | Technician/Technologist | 5660 Dixie Hwy, Waterford, MI 48329-1695 | 2008-03-25 |
| 1841322633 | Cohens Fashion Optical | Technician/Technologist | 850 Hartford Tnpk, Waterford, CT 06385 | 2007-03-09 |
| 1497817712 | Professional Optician Management Services Inc | Technician/Technologist | 741 Broad Street Extension, Waterford, CT 06385 | 2006-12-14 |
| 1063571214 | Professional Opticians Inc | Technician/Technologist | 125 Boston Post Road, Waterford, CT 06385 | 2006-12-06 |
| 1437530995 | Usv Optical Inc. | Technician/Technologist | 125 Cross Rd, Waterford, CT 06385-1203 | 2015-06-10 |
| 1124413703 | Kirk Larsen | Technician/Technologist | 850 Hartford Tpke, Cohens Fashion Optical, Waterford, CT 06385-4238 | 2015-04-01 |
| 1275853541 | William D. Foreman | Technician/Technologist | 131 Boston Post Rd, Suite 4, Waterford, CT 06385-2839 | 2010-06-09 |
| 1316039845 | Sam's Club Optical | Technician/Technologist | 495 Summit Dr, Waterford, MI 48328-3368 | 2006-09-29 |
| Find all providers in WATERFORD | ||||
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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.