GUNDERSEN CLINIC LTD (NPI# 1912446493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912446493 |
Entity Type | Organization |
Organization Name | GUNDERSEN CLINIC LTD |
Other Organization Name | GUNDERSEN HEALTH SYSTEM ARCADIA EYE CLINIC |
Practice Address |
464 S Saint Joseph Ave Arcadia WI 54612-1401 |
Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
Practice Telephone | 6087827300 |
Mailing Telephone | 6087827300 |
Mailing Fax Number | 6087757440 |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-02-17 |
Authorized Official Name | KARI B ADANK (CCO) |
Authorized Official Telephone | 6087758025 |
Is Organization Subpart | Y |
Parent Organization Name | GUNDERSEN CLINIC LTD |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
GUNDERSEN HEALTH SYSTEM ARCADIA EYE CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
1225503428 | Gundersen Clinic Ltd | Pharmacy | 123 Hale Dr Ste 1, Holmen, WI 54636-8933 | 2018-10-04 |
1396234837 | Gundersen Clinic Ltd | Optometrist | 402a W Lake St, Friendship, WI 53934 | 2018-05-09 |
1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
1235773136 | Gundersen Clinic Ltd | Pharmacy | 1122 W Highway 61 Ste A, Winona, MN 55987-1957 | 2019-11-04 |
1164080099 | Gundersen Clinic Ltd | Clinic/Center | 201 3rd St N, La Crosse, WI 54601-3208 | 2019-06-05 |
1952967358 | Gundersen Clinic Ltd | Pharmacy | 505 Gopher Dr Ste A, Tomah, WI 54660-4513 | 2019-05-13 |
1245705441 | Gundersen Clinic Ltd | Pharmacy | 2511 Green Bay St, La Crosse, WI 54601-5900 | 2018-10-04 |
1497220693 | Gundersen Clinic Ltd | Pharmacy | 111 Sand Lake Rd, Onalaska, WI 54650-2760 | 2018-10-04 |
1306347141 | Gundersen Clinic Ltd | Clinic/Center | 516 Montgomery St, Decorah, IA 52101-2720 | 2018-02-27 |
Street Address |
464 S SAINT JOSEPH AVE |
City | ARCADIA |
State | WI |
Zip Code | 54612-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003899725 | Fredrick Kaminsky | Nurse Anesthetist, Certified Registered | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2005-11-28 |
1811444847 | Mickayla Verthein | Physical Therapy Assistant | 464 S Saint Joseph Ave, Suite 100, Arcadia, WI 54612-1401 | 2016-09-07 |
1689077240 | Briana M Braunschweig | Physical Therapist | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2014-09-26 |
1033457924 | Arcadia Ambulance Services Board | Ambulance | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2013-01-28 |
1093068256 | Arcadia Nursing Home | Skilled Nursing Facility | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2012-10-24 |
1144500323 | Sally J Kulig | Occupational Therapy Assistant | 464 S Saint Joseph Ave, Suite 100, Arcadia, WI 54612-1401 | 2011-08-19 |
1619159365 | Arcadia Ambulance Service | Ambulance | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2007-12-04 |
1649472010 | Capri Mara Fillmore | Family Medicine | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2007-06-05 |
1689885451 | David R Lewis | Social Worker | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2007-05-24 |
1821133117 | Travis A Kramolis | Physical Therapist | 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | 2007-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
Find all providers in zip 54612 |
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 |
---|---|---|---|---|
1710547534 | Bryan Lee Kimura | Optometrist | 217 Ilene Dr, Arcadia, CA 91006-4121 | 2019-06-14 |
1770008468 | Tina C. Chiou, O.d., Inc. | Optometrist | 400 S Baldwin Ave Ste 116, Arcadia, CA 91007-1903 | 2017-08-03 |
1902263742 | Randi Mcmichael | Optometrist | 2822 Sycamore Ln, Arcadia, CA 91006-6352 | 2016-01-25 |
1548642507 | Tiffany Cheung | Optometrist | 288 E Live Oak Ave Ste D, Arcadia, CA 91006-5602 | 2015-06-25 |
1699906826 | Juliet Tsai | Optometrist | 1 W Duarte Rd, Suite B, Arcadia, CA 91007-6930 | 2009-08-05 |
1053575282 | Hsing F Hsiao | Optometrist | 655 W Duarte Rd Ste B, Arcadia, CA 91007-7332 | 2008-07-16 |
1518159128 | Laura J Ahn | Optometrist | 288 E Live Oak Ave, Arcadia, CA 91006-5629 | 2007-08-16 |
1750423612 | Curtis Kan | Optometrist | 556 Las Tunas Dr, Suite 105, Arcadia, CA 91007-8410 | 2007-02-13 |
1588706691 | Kendric Robert Kajikawa | Optometrist | 145 E Duarte Rd Ste D, Arcadia, CA 91006-6691 | 2007-02-13 |
1376572743 | Dennis Leung | Optometrist | 655 W Duarte Rd # B, Arcadia, CA 91007-7332 | 2006-06-30 |
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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.