DR. GERALD W KOSKINEN (NPI# 1780733477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733477 |
| Entity Type | Individual |
| Full Name | DR. GERALD W KOSKINEN |
| Credential | OD. |
| Practice Address |
3278 W Main St East Troy WI 53120-0165 |
| Mailing Address |
3278 W Main St P O Box 165 East Troy WI 53120-0165 |
| Practice Telephone | 2626429719 |
| Practice Fax Number | 2626422228 |
| Mailing Telephone | 2626429719 |
| Mailing Fax Number | 2626422228 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2184 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38574600 | 05 |
| Street Address |
3278 W MAIN ST |
| City | EAST TROY |
| State | WI |
| Zip Code | 53120-0165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609091313 | Koskinen Eye Clinic, LLC | Optometrist | 3278 W Main St, Suite B, East Troy, WI 53120 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508026659 | Thomas Philip Wanezek | Dentist | 3278 Main Street, East Troy, WI 53120 | 2008-06-12 |
| 1043470347 | Christopher Joseph Mantel | Dentist | 2481 Executive Drive, East Troy, WI 53120 | 2008-06-11 |
| 1649337726 | Wanezek Family Dentistry | Dentist | W3278 Main Street, East Troy, WI 53120 | 2007-01-02 |
| 1376607408 | East Troy Family Dental Center Sc | Clinic/Center | 2481 Executive Dr, East Troy, WI 53120 | 2006-12-21 |
| 1215012117 | Laura Lee Sperle | Registered Nurse | N 8015 Nicky Ct, East Troy, WI 53120 | 2006-10-26 |
| 1386772986 | Tracy Davies | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-03-02 |
| 1063554350 | Gregory A Nyffeler | Dentist | 2481 Executive Dr, East Troy, WI 53120 | 2007-02-13 |
| 1881628295 | Leslie A. Mroch | Registered Nurse | North 9351 Adams Road, East Troy, WI 53120-0103 | 2006-07-10 |
| 1578614228 | Truman George Long | Counselor | 2100 Church Street, East Troy, WI 53120-0621 | 2007-01-16 |
| 1659425213 | Susan Sally Ashton | Psychologist | 2100 Church Street, East Troy, WI 53120-0621 | 2007-01-22 |
| Find all providers in zip 53120 | ||||
| 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 |
|---|---|---|---|---|
| 1902258742 | Sandra Marie Huenink | Optometrist | 3278 Main St, East Troy, WI 53120-1152 | 2016-07-05 |
| 1609091313 | Koskinen Eye Clinic, LLC | Optometrist | 3278 W Main St, Suite B, East Troy, WI 53120 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| 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.