VISION MART, INC (NPI# 1114056983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114056983 |
| Entity Type | Organization |
| Organization Name | VISION MART, INC |
| Other Organization Name | VISION MART |
| Practice Address |
930 Gateway Ct West Bend WI 53095-8538 |
| Mailing Address |
12000 W Carmen Ave Milwaukee WI 53225-2116 |
| Practice Telephone | 2623061400 |
| Mailing Telephone | 4144621300 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICKI DICKMAN (PRES) |
| Authorized Official Telephone | 4144621300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| VISION MART | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881723641 | Vision Mart, Inc | Technician/Technologist | 2923 N 15th St, Sheboygan, WI 53083-3946 | 2007-03-05 |
| 1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
| 1982240289 | Vision Mart, Inc | Technician/Technologist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2019-11-21 |
| 1013461771 | Vision Mart, Inc | Technician/Technologist | 130 E Capitol Dr, Glendale, WI 53212-1206 | 2016-08-11 |
| 1346525573 | Vision Mart, Inc | Technician/Technologist | 2476 S Oneida St, Suite 105, Green Bay, WI 54304-5289 | 2011-10-19 |
| 1588793434 | Vision Mart, Inc | Technician/Technologist | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2007-03-05 |
| 1992834758 | Vision Mart, Inc | Technician/Technologist | 2625 S 108th St, West Allis, WI 53227-1925 | 2007-03-05 |
| 1497884241 | Vision Mart, Inc | Technician/Technologist | 6760 W National Ave, West Allis, WI 53214-4965 | 2007-03-05 |
| 1659400414 | Vision Mart, Inc | Technician/Technologist | 8770 S Howell Ave, Oak Creek, WI 53154-7524 | 2007-03-05 |
| 1609905454 | Vision Mart, Inc | Technician/Technologist | 1818 W National Ave, Milwaukee, WI 53204-1118 | 2007-03-05 |
| Street Address |
930 GATEWAY CT |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063542603 | Herslof's, Inc | Technician/Technologist | 5595 County Road Z, West Bend, WI 53095-9224 | 2007-03-06 |
| 1578609095 | Eye Care Optical Inc. | Technician/Technologist | 1411 S Main St, West Bend, WI 53095-4931 | 2007-01-30 |
| 1912088006 | Wal-mart Stores East, Lp | Technician/Technologist | 1515 W Paradise Dr, West Bend, WI 53095-9794 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
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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.