ANDREA C SO (NPI# 1831531557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831531557 |
| Entity Type | Individual |
| Full Name | ANDREA C SO |
| Credential | OD |
| Practice Address |
1025 Regent St Madison WI 53715-1248 |
| Practice Telephone | 6082822000 |
| Practice Fax Number | 6082822172 |
| Mailing Telephone | 6082822000 |
| Mailing Fax Number | 6082822172 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3316-035 | WI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 14890 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1831531557 | 05 |
| Street Address |
1025 REGENT ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303303 | Neal Joseph Janquart | Anesthesiology | 1025 Regent St, Davis Duehr Dean Medical Center, Madison, WI 53715-1248 | 2005-11-15 |
| 1992326995 | Noelle Bock | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2020-04-30 |
| 1477113025 | Joseph Isik | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2019-06-17 |
| 1336597079 | Trevor J Fosso | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2016-06-02 |
| 1962885012 | Andrew Kornaus | Optometrist | 1025 Regent St, Madison, WI 53715-1248 | 2015-07-08 |
| 1194107649 | Jaclyn Beth Gurwin | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2015-06-22 |
| 1205237419 | Lynnette Olrick-bielinski | Registered Nurse | 1025 Regent St, Madison, WI 53715-1248 | 2014-09-07 |
| 1851736037 | Wesley C Green | Ophthalmology | 1025 Regent St, Madison, WI 53715 | 2013-05-01 |
| 1255686846 | Christopher M Pruet | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2012-07-19 |
| 1861751364 | Neil H Farbman | Ophthalmology | 1025 Regent St, Madison, WI 53715-1248 | 2012-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| 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] |
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| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1134631674 | J2lb LLC | Optometrist | 562 N Midvale Blvd, Madison, WI 53705-3238 | 2017-10-24 |
| 1699285478 | Myeyedr Optometry of Alabama LLC | Optometrist | 105 Brookridge Dr Ste F, Madison, AL 35758-7577 | 2017-10-05 |
| 1720506876 | Heritage Eye Care | Optometrist | 12181 County Line Rd Ste 190, Madison, AL 35758-7739 | 2017-09-08 |
| 1215387105 | Jagani Vision Associates | Optometrist | 106 Walking Trail Way, Madison, AL 35758-4818 | 2016-06-21 |
| 1104290816 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 747 Boston Post Rd, Madison, CT 06443-3044 | 2015-11-18 |
| 1740663855 | Active Life Eye Care, Od, Pa | Optometrist | 415 W Academy St, Madison, NC 27025-2005 | 2015-07-07 |
| 1790175479 | William Leslie Arnold | Optometrist | 111 Colony Crossing Way Ste 220, Madison, MS 39110-6834 | 2015-02-02 |
| 1548694235 | Stephanie Mccaig | Optometrist | 1 West Towne Mall, Madison, WI 53719 | 2013-08-29 |
| 1851723258 | Mary Elizabeth Chenault | Optometrist | 102 Intercom Dr, Madison, AL 35758-2638 | 2013-08-07 |
| Find all providers in MADISON | ||||
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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.