CLIFFORD BEAUDOIN (NPI# 1679561195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679561195 |
| Entity Type | Individual |
| Full Name | CLIFFORD BEAUDOIN |
| Credential | OD |
| Practice Address |
2700 W College Ave Appleton WI 54914-2918 |
| Practice Telephone | 9207359580 |
| Mailing Telephone | 9207359580 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2226 | WI | Eye and Vision Services Providers |
| Street Address |
2700 W COLLEGE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814631 | Mark Wade | Optometrist | 2700 W College Ave, Appleton, WI 54914-2918 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1629636105 | Steven Michael Mccarty | Optometrist | 4784 W Integrity Way, Appleton, WI 54913-8464 | 2019-05-30 |
| 1609330505 | Insight Eye Care, LLC | Optometrist | 509 Chain Dr, Appleton, WI 54915-1437 | 2019-01-24 |
| 1548558869 | Aaron R Gruber | Optometrist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2011-07-20 |
| 1770870602 | Angela M Rodriguez | Optometrist | 21 Park Place, Appleton, WI 54914-8872 | 2011-06-29 |
| 1336435445 | Catherine Loughrin | Optometrist | 1033 W Northland Ave Ste B, Appleton, WI 54914-1499 | 2011-06-27 |
| 1477780914 | Conroy Eye Care, Pa | Optometrist | 229 N Miles St, Appleton, MN 56208-1318 | 2009-06-11 |
| 1386771624 | Primary Eye Care, S.c. | Optometrist | 250 N Metro Dr, Appleton, WI 54913-8571 | 2007-02-27 |
| 1346333176 | Christopher D Smith | Optometrist | 223 S Nicolet Rd, Appleton, WI 54914-3938 | 2006-10-02 |
| 1104919869 | Sullivan Eye Center, S.c. | Optometrist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2006-10-02 |
| 1407966658 | Joseph John Krupka | Optometrist | 955 Mutual Way, Appleton, WI 54913-8415 | 2006-08-30 |
| Find all providers in APPLETON | ||||
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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.