DR. TAMMI L SAWALLISH (NPI# 1225063514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225063514 |
| Entity Type | Individual |
| Full Name | DR. TAMMI L SAWALLISH |
| Credential | OD |
| Practice Address |
616 W Johnson St Fond Du Lac WI 54935 |
| Practice Telephone | 9209218290 |
| Practice Fax Number | 9209217112 |
| Mailing Telephone | 9209218290 |
| Mailing Fax Number | 9209217112 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3047 | IL | Eye and Vision Services Providers |
| Street Address |
616 W JOHNSON ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518919596 | Carin M Lacount | Optometrist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2006-05-17 |
| 1114352226 | Myny V Yang | Pharmacist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2013-09-08 |
| 1134565039 | Steven D Henslin | Pharmacist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2013-05-17 |
| 1023353257 | John M Driedric | Pharmacist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2012-11-28 |
| 1871549220 | Shopko Stores Operating Co LLC | Pharmacy | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2006-05-26 |
| 1013960723 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| 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 |
|---|---|---|---|---|
| 1639241508 | George Boling | Optometrist | 835 W Johnson St, Spc. C07c Forest Mall, Fond Du Lac, WI 54935-8297 | 2006-11-15 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1649381518 | Mark Edward Veth | Optometrist | 437 N Pioneer Rd, Fond Du Lac, WI 54935-2087 | 2006-08-31 |
| 1518919596 | Carin M Lacount | Optometrist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2006-05-17 |
| 1992762835 | Nicole L Amidon | Optometrist | 459 W Johnson St, Fond Du Lac, WI 54935-3170 | 2006-04-26 |
| 1013994524 | Laura J Rau | Optometrist | 24 Deneveu Cir, Fond Du Lac, WI 54935-5457 | 2005-12-27 |
| 1558352146 | W P Zuege | Optometrist | 110 E Division St, Fond Du Lac, WI 54935-4369 | 2005-11-02 |
| 1376105700 | Cortney D Birschbach | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2019-07-06 |
| 1477083608 | Tristan G Brown | Optometrist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-06-20 |
| 1295186690 | Jessica Kulick | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2016-06-27 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.