EYE ASSOCIATES OF GREEN BAY, SC (NPI# 1699974980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699974980 |
| Entity Type | Organization |
| Organization Name | EYE ASSOCIATES OF GREEN BAY, SC |
| Practice Address |
2020 Riverside Dr Ste 201 Green Bay WI 54301-2300 |
| Practice Telephone | 9209657000 |
| Practice Fax Number | 9209654701 |
| Mailing Telephone | 9209657000 |
| Mailing Fax Number | 9209654701 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | SALLY JILOT (ADMINISTRATOR) |
| Authorized Official Telephone | 9209654800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ADMINASTAR FEDERAL REGION | 4334090001 | 01 |
| WI | MEDICARE GROUP | 000007100 | 01 |
| WI | WMAP GROUP | 32899700 | 01 |
| WI | MEDICARE RR GROUP | CJ2796 | 01 |
| Street Address |
2020 RIVERSIDE DR STE 201 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1487703880 | Wisconsin Oculoplastics Ltd | Ophthalmology | 1525 Park Pl, Green Bay, WI 54304-1979 | 2007-01-09 |
| 1215039136 | Kurt August Schwiesow | Ophthalmology | 1087 W Mason Street, Green Bay, WI 54303-1859 | 2006-09-01 |
| 1356367023 | James Edward Memmen | Ophthalmology | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2006-07-14 |
| 1992731327 | Marie D Nassiff | Ophthalmology | 4665 Wery Rd, Green Bay, WI 54311-9102 | 2006-06-25 |
| 1790720100 | Dianna L Bordewick | Ophthalmology | 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 | 2006-06-19 |
| 1659336733 | Matthew J Thompson | Ophthalmology | 1087 W Mason St, #1, Green Bay, WI 54303-1859 | 2006-04-20 |
| 1316932197 | Pamela G Dobson | Ophthalmology | 211 N Broadway, Ste 103, Green Bay, WI 54303-2757 | 2005-09-16 |
| 1003808676 | Benjamin E Phillips | Ophthalmology | 164 N Broadway, Green Bay, WI 54303-2728 | 2005-08-18 |
| 1326042730 | Daniel L Dale | Ophthalmology | 1525 Park Place, Green Bay, WI 54304-1979 | 2005-06-13 |
| 1134440670 | William Joseph Reynders | Ophthalmology | 2253 W Mason St, Green Bay, WI 54303 | 2010-06-18 |
| Find all providers in GREEN BAY | ||||
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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.