HAYWARD FAMILY EYE CARE INC NPI 1053769547

NPI Information

  • NPI: 1053769547
  • Provider Name: HAYWARD FAMILY EYE CARE, INC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 15569 RAILROAD ST
    SUITE 301
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 634-8616

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NPI Details

HAYWARD FAMILY EYE CARE, INC is an optometrist in Hayward, WI. The provider is 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. HAYWARD FAMILY EYE CARE, INC NPI is 1053769547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15569 RAILROAD ST
SUITE 301
HAYWARD, WI
ZIP 54843-706
Phone: (715) 634-8616

The provider's authorized official is Timothy Frederiksen .
The authorized official title is Owner/optometrist and has the following contact phone number (715) 271-9899.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 1/12/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist2235-35WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1410040194MEDICARE PINWISCONSIN
27568300001MEDICARE NSCWISCONSIN
3U20693MEDICARE UPIN
438577900MEDICAIDWISCONSIN

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: 3/30/2025

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