ERICA KIRK (NPI# 1760093843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760093843 |
| Entity Type | Individual |
| Full Name | ERICA KIRK |
| Other Name | ERICA HARTKE |
| Credential | OD |
| Practice Address |
2100 Stewart Ave Ste 120 Wausau WI 54401-1707 |
| Practice Telephone | 7158451988 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3639-35 | WI | Eye and Vision Services Providers |
| Street Address |
2100 STEWART AVE STE 120 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780704049 | Stewart Avenue Optical, Inc. | Eye Bank | 2100 Stewart Ave Ste 120, Wausau, WI 54401-1707 | 2007-03-30 |
| 1386892693 | Stewart Optical LLC | Technician/Technologist | 2100 Stewart Ave Ste 120, Wausau, WI 54401-1707 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| 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 |
|---|---|---|---|---|
| 1659729580 | Kelsey B Koerner | Optometrist | 205 W Bridge St Ste 101, Wausau, WI 54401-3000 | 2016-06-01 |
| 1326441387 | Ea Sanders, Od LLC | Optometrist | 2509 Bufflehead Ave, Wausau, WI 54401-9191 | 2014-10-06 |
| 1083764971 | Wayne R Busick | Optometrist | D400 Wausau Ctr, Wausau, WI 54403-5508 | 2007-01-11 |
| 1477667475 | Richard Lee Felty | Optometrist | 217 S 52nd Ave, Wausau, WI 54401-8068 | 2006-08-18 |
| 1093777815 | Robert Kessen | Optometrist | 2100 Stewart Ave, Suite 120, Wausau, WI 54401-1700 | 2006-04-05 |
| 1578530648 | Brian Damien Puent | Optometrist | 2600 Rib Mountain Dr Ste 120, Wausau, WI 54401 | 2006-03-07 |
| 1417929761 | R Christopher Marquardt | Optometrist | 515 N 17th Ave, Wausau, WI 54401-2910 | 2006-02-02 |
| 1770143984 | Lauren Mae Leurquin | Optometrist | 205 W Bridge St, Wausau, WI 54401-3000 | 2019-06-19 |
| 1790217503 | Sean Sarazen | Optometrist | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-03-30 |
| 1710358049 | Puent Optometry LLC | Optometrist | 2600 Rib Mountain Dr, Suite 120, Wausau, WI 54401-7196 | 2015-10-13 |
| Find all providers in WAUSAU | ||||
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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.