BERLIN FAMILY EYE CARE SC (NPI# 1720139850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720139850 |
| Entity Type | Organization |
| Organization Name | BERLIN FAMILY EYE CARE SC |
| Practice Address |
269 Memorial Dr Suite 103 Berlin WI 54923-1243 |
| Practice Telephone | 9203611696 |
| Practice Fax Number | 9203611247 |
| Mailing Telephone | 9203611696 |
| Mailing Fax Number | 9203611247 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | DR. DAVID E JOHANKNECHT (PRESIDENT) |
| Authorized Official Telephone | 9203611696 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38455800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| Street Address |
269 MEMORIAL DR SUITE 103 |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1669523791 | Micheal Dean Gerber | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| 1750673513 | Kristy E Wagner | Occupational Therapy Assistant | 225 Memorial Drive, Berlin, WI 54923 | 2011-05-11 |
| Find all providers in zip 54923 | ||||
| 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 |
|---|---|---|---|---|
| 1487094793 | Christina Napoletano | Optometrist | 1166 Farmington Ave, Berlin, CT 06037-2302 | 2013-07-01 |
| 1003111014 | Accurate Optical of Ocean Pines Inc | Optometrist | 11031 Nicholas Ln Ste 2, Ocean Pines Village Square, Berlin, MD 21811-3296 | 2011-01-22 |
| 1346497062 | Garuna Hartnett | Optometrist | 282 Berlin Mall Rd Ste 4, Berlin, VT 05602-8493 | 2008-08-25 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1215038898 | Randy A Omlor | Optometrist | 4907 Dalbey Lane, Suite B, Berlin, OH 44610-0224 | 2006-09-26 |
| 1275641961 | Robert L. Miller, Od Inc. | Optometrist | 4913 West Main St, Berlin, OH 44610 | 2006-08-25 |
| 1134234438 | Mark A Leipert | Optometrist | 282 Berlin Mall Rd, Unit 4, Berlin, VT 05602-8292 | 2006-08-20 |
| 1073521373 | James M. Miller | Optometrist | 4913 W. Main St., Berlin, OH 44610 | 2006-08-03 |
| 1053338046 | Brett W Kjellen | Optometrist | 1166 Farmington Ave., Berlin, CT 06037-2302 | 2006-07-16 |
| Find all providers in BERLIN | ||||
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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.