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CARDINAL FAMILY EYE CARE LLC NPI 1699969410


NPI Information

NPI: 1699969410
Provider Name: CARDINAL FAMILY EYE CARE LLC

Doing Business As: NEW VISTA EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 52D2133391

Address:
331 E PRAIRIE VIEW RD
CHIPPEWA FALLS, WI
ZIP 54729
Phone: (715) 726-9077
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CARDINAL FAMILY EYE CARE LLC is an optometrist in Chippewa Falls, 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. CARDINAL FAMILY EYE CARE LLC NPI is 1699969410. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Vista Eyecare.

The provider's business location address is:

331 E PRAIRIE VIEW RD
CHIPPEWA FALLS, WI
ZIP 54729-463
Phone: (715) 726-9077
Fax: (715) 726-9173

The provider's authorized official is Jacob B Vergin .
The authorized official title is Managing Partner and has the following contact phone number (715) 861-5253.

The CLIA number assigned to this NPI record is 52D2133391 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 2/21/2008.


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
1152W00000XOptometrist3081-035WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16046420002MEDICARE NSCWISCONSIN
2000047999MEDICARE PINWISCONSIN
338726600MEDICAIDWISCONSIN

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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