DEAN RETAIL SERVICES INC. NPI 1124450416

NPI Information

  • NPI: 1124450416
  • Provider Name: DEAN RETAIL SERVICES, INC.
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: SSM HEALTH DAVIS DUEHR DEAN EYE CARE - WAUNAKEE
  • Address: 1300 S CENTURY AVE
    SUITE 200
    WAUNAKEE, WI
    ZIP 53597
  • Phone: (608) 849-4315

Map and Directions

Get Directions

NPI Details

DEAN RETAIL SERVICES, INC. is an optician technician technologist in Waunakee, 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 1124450416. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Davis Duehr Dean Eye Care - Waunakee.

The provider's business location address is:

1300 S CENTURY AVE
SUITE 200
WAUNAKEE, WI
ZIP 53597-386
Phone: (608) 849-4315
Fax: (608) 850-1606

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 8/8/2013 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100032814MEDICAIDWISCONSIN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI