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ESSENTIAL FAMILY VISION CARE S.C. NPI 1205953866


NPI Information

NPI: 1205953866
Provider Name: ESSENTIAL FAMILY VISION CARE, S.C.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
101 S. MAIN ST
DE FOREST, WI
ZIP 53532
Phone: (608) 846-5625
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ESSENTIAL FAMILY VISION CARE, S.C. is an optometrist in De Forest, 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. ESSENTIAL FAMILY VISION CARE, S.C. NPI is 1205953866. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 S. MAIN ST
DE FOREST, WI
ZIP 53532
Phone: (608) 846-5625
Fax: (608) 846-8998

The provider's authorized official is Julia B. Edwards .
The authorized official title is President and has the following contact phone number (608) 846-5625.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 4/13/2009.


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
1152W00000XOptometrist2173WISCONSINYes

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
15398900001MEDICARE NSCWISCONSIN
2000147800MEDICARE ID-TYPE UNSPECIFIEDWISCONSINDR TRIXIE EAKIN
338723200MEDICAIDWISCONSIN
4T16837MEDICARE UPINWISCONSIN
5U69815MEDICARE UPINWISCONSIN
6000247800MEDICARE ID-TYPE UNSPECIFIEDWISCONSINDR JULIA EDWARDS

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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