MARK S SPANKOWSKI (NPI# 1831223338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831223338 |
| Entity Type | Individual |
| Full Name | MARK S SPANKOWSKI |
| Credential | OD |
| Practice Address |
608 E. Summit Ave. Oconomowoc WI 53066 |
| Practice Telephone | 2625676565 |
| Practice Fax Number | 2625678214 |
| Mailing Telephone | 2625676565 |
| Mailing Fax Number | 2625678214 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1834-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38517900 | 05 |
| Street Address |
608 E. SUMMIT AVE. |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1962651364 | Amber E Bartels | Optometrist | 1280 N Summit Ave, Oconomowoc, WI 53066-4459 | 2008-09-10 |
| 1376724377 | Oconomowoc Vision Clinic, LLC | Optometrist | 1674 Old Schoolhouse Rd, Suite 101, Oconomowoc, WI 53066-1396 | 2007-11-18 |
| 1487726535 | David Bjork | Optometrist | 1674 Old Schoolhouse Rd Ste 101, Oconomowoc, WI 53066-1396 | 2006-11-14 |
| 1023038189 | Dana S Mcguire | Optometrist | 608 Summit Ave, Oconomowoc, WI 53066-3841 | 2006-07-20 |
| 1871511022 | Jennifer Jill Hillmann | Optometrist | 1280 Summit Avenue, Oconomowoc, WI 53066 | 2006-07-17 |
| 1679520845 | Summit Eye Clinic Sc | Optometrist | 608 East Summit Ave, Oconomowoc, WI 53066-3841 | 2006-05-31 |
| 1962453589 | Erik R Bjork | Optometrist | 105 E Wisconsin Ave, #206, Oconomowoc, WI 53066-3058 | 2006-05-16 |
| 1265401624 | James Joseph Baietto | Optometrist | 712 E Summit Ave, Oconomowoc, WI 53066 | 2006-03-16 |
| 1578556239 | Thomas K. Marsh | Optometrist | 1280 Summit Ave, Oconomowoc, WI 53066-4445 | 2005-08-29 |
| 1851950349 | Anna N. Hetzer | Optometrist | 1280 N Summit Ave, Oconomowoc, WI 53066-4459 | 2019-06-10 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.