NICOLE RENEE JONAS (NPI# 1710085709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085709 |
| Entity Type | Individual |
| Full Name | NICOLE RENEE JONAS |
| Other Name | NICOLE RENEE MIESNER |
| Credential | OD |
| Practice Address |
200 S Executive Dr Suite 101 Brookfield WI 53005-4216 |
| Mailing Address |
888 Worcester St Suite 130 Wellesley MA 02482-3744 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3014 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38626600 | 05 | |
| WI | RAILROAD MEDICARE | P00224977 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934420 | Nicole Jonas | Speech-Language Pathologist | 1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188 | 2019-04-17 |
| 1538615562 | Nicole Jonas | Social Worker | 330 S York St, Gastonia, NC 28052-4052 | 2016-08-30 |
| Street Address |
200 S EXECUTIVE DR SUITE 101 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326079716 | Jeffrey L. Morer, Od, PC | Optometrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-07-05 |
| 1174140115 | Krista Lyn Fogltanz | Audiologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2020-06-25 |
| 1053953984 | Neuropsychological Services of Southeastern Wisconsin, Ltd | Clinical Neuropsychologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2019-10-11 |
| 1265968036 | Crystal Avery | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2017-05-11 |
| 1275914483 | Legacy Physiatry Group Wisconsin, LLC | Internal Medicine | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2015-06-12 |
| 1629377676 | Maria Christine Jenkins | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2011-03-16 |
| 1124338462 | Genevieve Pressman | Pedorthist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-10-20 |
| 1679886915 | Natasha Marie Ming | Dental Hygienist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2010-07-15 |
| 1447589783 | Ryan R. Blair | Hearing Instrument Specialist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-16 |
| 1679802409 | Impressions of Increase, Inc. | In Home Supportive Care | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
|---|---|---|---|---|
| 1184135204 | Daniel & Max, LLC | Optometrist | 12400 W Capitol Dr Ste 300, Brookfield, WI 53005-2402 | 2017-10-16 |
| 1457890220 | Wisconsin Vision, Inc. | Optometrist | 285 Market St., Suite E-107, Brookfield, WI 53045-3208 | 2017-02-14 |
| 1255772067 | Brookfield Family Eye Care, LLC | Optometrist | 17550 W Bluemound Rd Ste D, Brookfield, WI 53045-2928 | 2013-07-09 |
| 1427336353 | Joanne Beyer Rentmeester | Optometrist | 16970 W Bluemound Rd, Brookfield, WI 53005-5952 | 2011-07-26 |
| 1558666289 | Pamela Suzanne Schramm | Optometrist | 246 Federal Rd., Suite C-12, Brookfield, CT 06883 | 2011-01-11 |
| 1790097343 | Kelly Lyn Schermeister | Optometrist | 14320 W Greenfield Ave, Brookfield, WI 53005-7036 | 2010-07-12 |
| 1558484121 | Andrew Makela | Optometrist | 15455 W Bluemound Rd, Suite 240, Brookfield, WI 53005-4007 | 2007-04-09 |
| 1750406781 | Phillip E Roy | Optometrist | 16970 West Bluemound Rd, Brookfield, WI 53005 | 2007-03-20 |
| 1588789523 | Lynne E Zaborske Roy | Optometrist | 16970 A West Bluemound Rd, Brookfield, WI 53005 | 2007-03-20 |
| 1184755951 | Mark Steven Braun | Optometrist | 95 N Bluemound Road, Brookfield, WI 53005 | 2007-03-07 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.