WILLIAM DICK (NPI# 1649335662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649335662 |
| Entity Type | Individual |
| Full Name | WILLIAM DICK |
| Credential | OD |
| Practice Address |
1437 S Main St West Bend WI 53095-4931 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 2623341925 |
| Practice Fax Number | 2623344303 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1345-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38500700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077434 | William Earl Dick IIi | Acupuncturist | 710 Electra Dr, Houston, TX 77079-3703 | 2019-01-29 |
| 1801041512 | William Ryan Dick | Student in an Organized Health Care Education/Training Program | 340 W 920 S Trlr 64, Provo, UT 84601-5805 | 2008-11-21 |
| 1982850244 | William Henry Dick | Internal Medicine | 6737 La Tour Cir, Indianapolis, IN 46278-1546 | 2008-08-18 |
| 1831374628 | William Napier Dick | Dentist | 3315b East Lawrenceville St., B, Duluth, GA 30096 | 2007-12-31 |
| 1659698843 | William Dick | Case Manager/Care Coordinator | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2010-04-27 |
| 1306869250 | William Kelly Dick | Audiologist | 1034 N 500 W, Provo, UT 84604-3380 | 2006-07-25 |
| Street Address |
1437 S MAIN ST |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1730466277 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1437 S Main St, West Bend, WI 53095-4931 | 2011-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
| 1508242256 | Advanced Focus Eyecare LLC | Optometrist | 1116 N Main St, West Bend, WI 53090-1923 | 2015-08-05 |
| 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 |
| 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.