DR. BRYCE ALEXANDRA LEWELLEN (NPI# 1093167074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093167074 |
| Entity Type | Individual |
| Full Name | DR. BRYCE ALEXANDRA LEWELLEN |
| Credential | O.D. |
| Practice Address |
5300 Memorial Dr Two Rivers WI 54241-3923 |
| Practice Telephone | 9207937515 |
| Practice Fax Number | 9207937516 |
| Mailing Telephone | 9207937515 |
| Mailing Fax Number | 9207937516 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3647-35 | WI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG003142 | PA | Eye and Vision Services Providers |
| Street Address |
5300 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
| 1487282802 | Jane B Bersch | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-31 |
| 1952938334 | Sara Wendt | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-25 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1376037499 | Julie Brunner | Registered Nurse | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-06-21 |
| 1356838049 | Rachel Marie Geiger | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-04-18 |
| 1740781715 | Lindsey Shea Herman | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-02-26 |
| 1659898385 | Sandra R Van Groll | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-23 |
| 1821513136 | Kevin Kornowski | Physician Assistant | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-08 |
| 1336676360 | Pamela J Masci | Social Worker | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| 1710367123 | Matthew J Hobbins | Internal Medicine | 5000 Memorial Dr, Two Rivers, WI 54241 | 2015-06-02 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114084324 | Two Rivers Eye Clinic | Optometrist | 1603 Washington St, Two Rivers, WI 54241-3021 | 2007-01-03 |
| 1982711594 | James W Hansen | Optometrist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.