MALLORY FLORENCE ANDREWS (NPI# 1780177675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780177675 |
Entity Type | Individual |
Full Name | MALLORY FLORENCE ANDREWS |
Credential | OD |
Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
Mailing Address |
2735 N 30th St Sheboygan WI 53083-3624 |
Practice Telephone | 9204591102 |
Mailing Telephone | 9202545671 |
Enumeration Date | 2018-06-14 |
Last Update Date | 2019-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 3506-35 | WI | Eye and Vision Services Providers |
N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3506-35 | WI | Eye and Vision Services Providers |
N | 152WP0200X |
Optometrist Specialization: Pediatrics |
3506-35 | WI | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100080361 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568019651 | Mallory Andrews | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-08-22 |
Street Address |
2414 KOHLER MEMORIAL DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-3129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
1699299347 | Kia Lee Vang | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2017-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
Find all providers in zip 53081 |
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 |
---|---|---|---|---|
1407919830 | Wall & Hamilton Optometrists Sc | Optometrist | 1337 N Taylor Dr Ste 202, Sheboygan, WI 53081-3012 | 2006-12-18 |
1528127180 | Sandra J Hamilton | Optometrist | 1337 No Taylor Dr, Ste 202, Sheboygan, WI 53081-3012 | 2006-12-08 |
1447329776 | Steven J Wineland | Optometrist | 731 Pennsylvania Ave, Sheboygan, WI 53081-4644 | 2006-11-08 |
1861458176 | Steven J Nelsen | Optometrist | 2229 S Memorial Pl, Sheboygan, WI 53081-3715 | 2006-04-25 |
1831169648 | Behling Family Eyecare, S.c. | Optometrist | 609 S Taylor Dr, Sheboygan, WI 53081-4206 | 2006-01-24 |
1285628172 | Sheryl L Fischer | Optometrist | 2644 N 8th St, Sheboygan, WI 53083-4921 | 2005-09-07 |
1851992341 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2644 N 8th St, Sheboygan, WI 53083-4921 | 2020-11-03 |
1437768876 | Wisconsin Optometric Eye Doctor, S.c | Optometrist | 2644 N 8th St, Sheboygan, WI 53083-4921 | 2020-07-30 |
1851882187 | Jordyn Grace Matuschka | Optometrist | 1442 N 31st St, Sheboygan, WI 53081-3061 | 2018-05-22 |
1669755591 | Joseph Devan Wilson | Optometrist | 2229 S Memorial Pl, Sheboygan, WI 53081-3715 | 2011-09-27 |
Find all providers in SHEBOYGAN |
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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.