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DR. DENNIS RAYMOND SODERBERG O.D. NPI 1649235524


NPI Information

NPI: 1649235524
Provider Name: DR. DENNIS RAYMOND SODERBERG, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1620 10TH AVE
BALDWIN, WI
ZIP 54002
Phone: (715) 684-3310
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DR. Dennis Raymond Soderberg, O.D. is an optometrist in Baldwin, 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. DR. Dennis Raymond Soderberg, O.D. NPI is 1649235524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1620 10TH AVE
BALDWIN, WI
ZIP 54002-033
Phone: (715) 684-3310
Fax: (715) 684-4560

The NPI 1649235524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/20/2006 and was last updated on 7/9/2007.


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
1152W00000XOptometrist1549MINNESOTANo
2152W00000XOptometrist1396WISCONSINYes

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
1774002OTHERPREFERRED ONE
2391170106036OTHERWISCONSINCOMPCARE
387379MEDICARE ID-TYPE UNSPECIFIED
40699180001MEDICARE NSC
5795000OTHERHEALTH PARTNERS
622-12358OTHERMEDICA
7T63371MEDICARE UPIN
892530S0OTHERMINNESOTABCBS
938411800MEDICAIDWISCONSIN
10391170106028OTHERWISCONSINBCBS
11391170106044OTHERWISCONSINCLAIMS MANAGEMENT

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: 5/5/2024

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.