EYE CLINIC OF WISCONSIN, S.C. (NPI# 1740264266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740264266 |
| Entity Type | Organization |
| Organization Name | EYE CLINIC OF WISCONSIN, S.C. |
| Practice Address |
109 State Hwy 64 Antigo WI 54409 |
| Mailing Address |
800 N First St Wausau WI 54403-4754 |
| Practice Telephone | 7156236662 |
| Practice Fax Number | 7156232400 |
| Mailing Telephone | 7152618500 |
| Mailing Fax Number | 7152618665 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | MATTHEW G. HATTENHAUER (PRESIDENT) |
| Authorized Official Telephone | 7158458201 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32667800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235113655 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 1207 O'day St, Merrill, WI 54452 | 2005-11-30 |
| 1285617936 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 101 S Gibson St, Medford, WI 54451-1622 | 2005-11-28 |
| 1962485615 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 3401 Stanley St, Stevens Point, WI 54481-1326 | 2005-11-28 |
| 1538142245 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 2 E Ocala St, Rhinelander, WI 54501-3907 | 2005-11-28 |
| Street Address |
109 STATE HWY 64 |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| 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 |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
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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.