ELLIOTT VISION CENTER INC. (NPI# 1669590006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669590006 |
| Entity Type | Organization |
| Organization Name | ELLIOTT VISION CENTER INC. |
| Practice Address |
2722 Old Mill Dr Racine WI 53405-1320 |
| Practice Telephone | 2626322020 |
| Practice Fax Number | 2626327085 |
| Mailing Telephone | 2626322020 |
| Mailing Fax Number | 2626327085 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | DR. ROBERT E ELLIOTT (OWNER, PRESIDENT) |
| Authorized Official Telephone | 2626322020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2658 | WI | Eye and Vision Services Providers |
| Street Address |
2722 OLD MILL DR |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450151 | Robert E. Elliott | Optometrist | 2722 Old Mill Dr, Racine, WI 53405-1320 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| 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 |
|---|---|---|---|---|
| 1285079673 | Dr. Marguerite Richardson, Od, LLC | Optometrist | 5600 Durand Ave, Racine, WI 53406-5053 | 2013-04-30 |
| 1831406669 | Ayers Eye Care, L.L.C. | Optometrist | 2408 Drexel Ave, Racine, WI 53403-2923 | 2010-08-31 |
| 1629114186 | Pearle Vision Inc | Optometrist | 5744 Durand Ave, Racine, WI 53406-5054 | 2007-01-30 |
| 1003904483 | Robert G. Mahoney | Optometrist | 4304 Taylor Ave, Racine, WI 53405-4641 | 2006-10-10 |
| 1356355234 | Kristine M Evans | Optometrist | 3905 Douglas Ave, Racine, WI 53402-3230 | 2006-07-28 |
| 1447200456 | Heidi Anne Shufelt | Optometrist | 4801 Washington Ave, Racine, WI 53406-4219 | 2006-05-11 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1669450151 | Robert E. Elliott | Optometrist | 2722 Old Mill Dr, Racine, WI 53405-1320 | 2006-01-04 |
| 1679558282 | Dean Alan Rosenberg | Optometrist | 217 6th St, Racine, WI 53403-1213 | 2005-12-07 |
| 1447246046 | Jon Robert Wegner | Optometrist | 1120 Grove Ave, Racine, WI 53405-3028 | 2005-09-20 |
| Find all providers in RACINE | ||||
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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.