GUNDERSEN CLINIC, LTD. (NPI# 1215976352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215976352 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC, LTD. |
| Other Organization Name | GL VISION CENTER - WHITEHALL |
| Practice Address |
18606 Ervin St Whitehall WI 54773-8613 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087758025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN CLINIC, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| GL Vision Center - Whitehall | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137660 | Gundersen Clinic, Ltd. | Clinic/Center | 1500 Peebles Dr, Richland Center, WI 53581-2940 | 2007-04-26 |
| 1588604342 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 111 E Riverfront St, Winona, MN 55987-3456 | 2006-06-08 |
| 1730129446 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 121 East Main Street, Ossian, IA 52161 | 2006-06-08 |
| 1023064078 | Gundersen Clinic, Ltd. | Clinic/Center | 118 S Marquette Rd, Prairie Du Chien, WI 53821-1640 | 2006-05-25 |
| 1164477675 | Gundersen Clinic, Ltd. | Clinic/Center | 111 S Reynolds, Postville, IA 52162 | 2006-05-23 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1417902933 | Gundersen Clinic, Ltd. | Clinic/Center | 50 North 4th Street, Lansing, IA 52151 | 2006-05-23 |
| 1114971751 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-19 |
| 1497708044 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-05-17 |
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN CLINIC, LTD. | 1836 South Avenue, La Crosse, WI 54601 |
| Street Address |
18606 ERVIN ST |
| City | WHITEHALL |
| State | WI |
| Zip Code | 54773-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496796 | Joanne A Martin | Pediatrics | 18606 Ervin St, Whitehall, WI 54773-8613 | 2005-06-09 |
| 1114438348 | Tanya Mudgett | Nurse Practitioner | 18606 Ervin St, Whitehall, WI 54773-8613 | 2017-10-16 |
| 1669857678 | Ashley Stehl | Optometrist | 18606 Ervin St, Whitehall, WI 54773-8613 | 2015-07-21 |
| 1033525860 | Brian S Vike | Physician Assistant | 18606 Ervin St, Whitehall, WI 54773-8613 | 2014-07-01 |
| 1417201864 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2012-11-07 |
| 1255614681 | Megan Klomps-mcclung | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-09-22 |
| 1851687891 | Natasha Rae Minnaert | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-06-28 |
| 1972893071 | Kimberly Breidenbach | Family Medicine | 18606 Ervin St, Whitehall, WI 54773-8613 | 2011-04-11 |
| 1801033527 | Jodene M R Ekker | Nurse Practitioner | 18606 Ervin St, Whitehall, WI 54773-8613 | 2009-01-16 |
| 1609828151 | Gundersen Clinic, Ltd. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1184878324 | Trempealeau County Health Dept. | Public Health or Welfare | 36245 Main St., Whitehall, WI 54773 | 2008-11-14 |
| 1548434822 | Whitehall School District | Local Education Agency (LEA) | 19121 Hobson Street, Whitehall, WI 54773 | 2008-04-17 |
| 1972724136 | Kimberley Lenning | Counselor | W20209 State Road 121, Whitehall, WI 54773 | 2007-05-02 |
| 1508033184 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1689841264 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1992972905 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-09 |
| 1396741823 | Angela E House | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773 | 2005-06-21 |
| 1578568051 | Belinda C Hickey | Nurse Anesthetist, Certified Registered | 18601 Lincoln St, Whitehall, WI 54773 | 2005-06-20 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| Find all providers in zip 54773 | ||||
| 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 |
|---|---|---|---|---|
| 1992969109 | Cheung G Law | Optometrist | 201 Lehigh Valley Mall, Pearle Vision, Whitehall, PA 18052-5719 | 2008-07-16 |
| 1639241243 | David Donohue | Optometrist | 206 Lehigh Valley Mall, Whitehall, PA 18052-5719 | 2006-11-15 |
| 1942385265 | Gundersen and Zuker Pllc | Optometrist | 1030 S Mears Ave, Ste B, Whitehall, MI 49461-1784 | 2006-10-26 |
| 1407871320 | Vision Masters Corp | Optometrist | 706 Grape Street, Whitehall, PA 18052 | 2006-07-12 |
| 1972549657 | Independence Corporation | Optometrist | 2274 Macarthur Rd, Whitehall, PA 18052-4522 | 2006-06-21 |
| 1710943345 | Hildy L Strongwater | Optometrist | 2414 Macarthur Rd, Whitehall, PA 18052-3810 | 2006-04-22 |
| 1831174275 | Wayne Stewart Jackson | Optometrist | 4613 Doug Dr, Whitehall, MI 49461-9647 | 2005-12-08 |
| 1134115009 | Michael Paul Brodsky | Optometrist | 265 Lehigh Valley Mall, Whitehall, PA 18052-5719 | 2005-09-26 |
| 1083614911 | Thomas Michael Adamczak | Optometrist | 1315 E Colby St, Suite A, Whitehall, MI 49461-1283 | 2005-07-21 |
| 1942205745 | Dana Mignogna | Optometrist | 706 Grape St, Whitehall, PA 18052-5207 | 2005-06-17 |
| Find all providers in WHITEHALL | ||||
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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.