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DEAN RETAIL SERVICES INC. NPI 1942323795


NPI Information

NPI: 1942323795
Provider Name: DEAN RETAIL SERVICES, INC.

Doing Business As: SSM HEALTH DAVIS DUEHR DEAN EYE CARE-EAST

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1821 S STOUGHTON RD STE 200
MADISON, WI
ZIP 53716
Phone: (608) 260-6020
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DEAN RETAIL SERVICES, INC. is an optician technician technologist in Madison, WI. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. DEAN RETAIL SERVICES, INC. NPI is 1942323795. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Davis Duehr Dean Eye Care-east.

The provider's business location address is:

1821 S STOUGHTON RD STE 200
MADISON, WI
ZIP 53716-257
Phone: (608) 260-6020
Fax: (608) 260-6181

The provider's authorized official is Amy J Grinnell .
The authorized official title is Vice President Finance and has the following contact phone number (608) 260-3586.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierWISCONSINNo
2156FX1800XTechnician/TechnologistOpticianWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11942323795MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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