VISION MART, INC (NPI# 1982240289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982240289 |
| Entity Type | Organization |
| Organization Name | VISION MART, INC |
| Practice Address |
712 N Casaloma Dr Appleton WI 54913-8550 |
| Mailing Address |
12000 W Carmen Ave Milwaukee WI 53225-2116 |
| Practice Telephone | 9208321202 |
| Practice Fax Number | 9208321229 |
| Mailing Telephone | 4144621300 |
| Mailing Fax Number | 4144624780 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | VICTORIA JANE DICKMAN (PRESIDENT) |
| Authorized Official Telephone | 4144621300 |
| Is Organization Subpart | Y |
| Parent Organization Name | VISION MART, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38450000 | 05 |
| Other Name | Type Code |
|---|---|
| Vision Mart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881723641 | Vision Mart, Inc | Technician/Technologist | 2923 N 15th St, Sheboygan, WI 53083-3946 | 2007-03-05 |
| 1114056983 | Vision Mart, Inc | Technician/Technologist | 930 Gateway Ct, West Bend, WI 53095-8538 | 2007-03-05 |
| 1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
| 1013461771 | Vision Mart, Inc | Technician/Technologist | 130 E Capitol Dr, Glendale, WI 53212-1206 | 2016-08-11 |
| 1346525573 | Vision Mart, Inc | Technician/Technologist | 2476 S Oneida St, Suite 105, Green Bay, WI 54304-5289 | 2011-10-19 |
| 1588793434 | Vision Mart, Inc | Technician/Technologist | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2007-03-05 |
| 1992834758 | Vision Mart, Inc | Technician/Technologist | 2625 S 108th St, West Allis, WI 53227-1925 | 2007-03-05 |
| 1497884241 | Vision Mart, Inc | Technician/Technologist | 6760 W National Ave, West Allis, WI 53214-4965 | 2007-03-05 |
| 1659400414 | Vision Mart, Inc | Technician/Technologist | 8770 S Howell Ave, Oak Creek, WI 53154-7524 | 2007-03-05 |
| 1609905454 | Vision Mart, Inc | Technician/Technologist | 1818 W National Ave, Milwaukee, WI 53204-1118 | 2007-03-05 |
| Street Address |
712 N CASALOMA DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548558869 | Aaron R Gruber | Optometrist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1487894929 | America's Best Contact & Eyeglasses | Technician/Technologist | 4784 Integrity Way, Appleton, WI 54913-8464 | 2009-02-24 |
| 1770621971 | Wisconsin Vision, Inc | Technician/Technologist | 351 N Casaloma Dr, Appleton, WI 54913-9101 | 2007-02-01 |
| 1821185711 | Sam's Club Optical | Technician/Technologist | 1000 N. Westhill Blvd., Appleton, WI 54914-5792 | 2006-10-10 |
| 1255465738 | Park Place Optical, Ltd | Technician/Technologist | 21 Park Pl, Appleton, WI 54914-8872 | 2007-03-15 |
| 1770612269 | Herslof's, Inc | Technician/Technologist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2007-03-02 |
| 1750462768 | Wal-mart Stores East, Lp | Technician/Technologist | 955 Mutual Way, Appleton, WI 54913-8415 | 2006-10-17 |
| 1295816205 | Wal-mart Stores Easst, Lp | Technician/Technologist | 3701 E Calumet St, Appleton, WI 54915-4149 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| 1063650729 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4237 Lien Rd Ste E, Madison, WI 53704-3686 | 2009-02-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VISION MART, INC.
| 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.