ERICKSON EYE CARE P.C. NPI 1215110424

NPI Information

  • NPI: 1215110424
  • Provider Name: ERICKSON EYE CARE, P.C.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 2656 W 12TH AVE
    FORT MCCOY, WI
    ZIP 54656
  • Phone: (608) 388-5997

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NPI Details

ERICKSON EYE CARE, P.C. is an optometrist in Fort Mccoy, 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. ERICKSON EYE CARE, P.C. NPI is 1215110424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2656 W 12TH AVE
FORT MCCOY, WI
ZIP 54656-240
Phone: (608) 388-5997

The provider's authorized official is Kendra Erickson Garbrecht .
The authorized official title is Optometrist and has the following contact phone number (608) 799-4138.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 2/25/2010.

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
1152W00000XOptometrist3129-035WISCONSINYes

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
1I17042MEDICARE PINIOWA
21508962879OTHERIOWAINDIVIDUAL NPI
3I17050OTHERIOWAMEDICARE GROUP PIN
4I17029OTHERIOWAMEDICARE INDIVIDUAL PIN
5V08434MEDICARE UPINIOWA

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

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