THOMAS ERIC HERZOG INC NPI 1902887508

NPI Information

  • NPI: 1902887508
  • Provider Name: THOMAS ERIC HERZOG INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: INDIANHEAD EYE CLINIC
  • Address: W7164 GREEN VALLEY RD
    SPOONER, WI
    ZIP 54801
  • Phone: (715) 635-3127

Map and Directions

Get Directions

NPI Details

THOMAS ERIC HERZOG INC is a clinic center in Spooner, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). THOMAS ERIC HERZOG INC NPI is 1902887508. The provider is registered as an organization entity type.
The provider Is Doing Business As Indianhead Eye Clinic.

The provider's business location address is:

W7164 GREEN VALLEY RD
SPOONER, WI
ZIP 54801-605
Phone: (715) 635-3127
Fax: (715) 635-3316

The provider's authorized official is Thomas Eric Herzog .
The authorized official title is Optician/owner and has the following contact phone number (715) 635-3127.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 1/16/2014.

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
1261Q00000XClinic/CenterYes

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
138711400MEDICAIDWISCONSIN
2DG1708OTHERWISCONSINPALMETTO RR MEDICARE
30271380001MEDICARE NSC
4000087430MEDICARE PIN

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