PARK PLACE OPTICAL, LTD (NPI# 1255465738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255465738 |
| Entity Type | Organization |
| Organization Name | PARK PLACE OPTICAL, LTD |
| Practice Address |
21 Park Pl Appleton WI 54914-8872 |
| Practice Telephone | 9207398235 |
| Practice Fax Number | 9207498095 |
| Mailing Telephone | 9207398235 |
| Mailing Fax Number | 9207498095 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DR. MICHAEL P VRABEC (OFFICER) |
| Authorized Official Telephone | 9207398235 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38424500 | 05 |
| Street Address |
21 PARK PL |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-8872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285674655 | Marvin L Hall | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-07 |
| 1689231649 | Mindy Lynn Harrington | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2019-05-24 |
| 1043646623 | Katie Abata | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2013-09-16 |
| 1568758183 | Ross Anthony Jensen | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2011-06-22 |
| 1982850475 | Ryan P. Tetting | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2008-08-15 |
| 1033373600 | Douglas Francis Salm | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2008-07-14 |
| 1275617300 | Sara Davis Schalk | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-10-25 |
| 1346250826 | Daniel Thaddeus Nowak | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1033129515 | Kimberly Landwehr | Optometrist | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1528078011 | Colleen Corbett | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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|---|---|---|---|---|
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| 1487894929 | America's Best Contact & Eyeglasses | Technician/Technologist | 4784 Integrity Way, Appleton, WI 54913-8464 | 2009-02-24 |
| 1770621971 | Wisconsin Vision, Inc | Technician/Technologist | 351 N Casaloma Dr, Appleton, WI 54913-9101 | 2007-02-01 |
| 1821185711 | Sam's Club Optical | Technician/Technologist | 1000 N. Westhill Blvd., Appleton, WI 54914-5792 | 2006-10-10 |
| 1982240289 | Vision Mart, Inc | Technician/Technologist | 712 N Casaloma Dr, Appleton, WI 54913-8550 | 2019-11-21 |
| 1770612269 | Herslof's, Inc | Technician/Technologist | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2007-03-02 |
| 1750462768 | Wal-mart Stores East, Lp | Technician/Technologist | 955 Mutual Way, Appleton, WI 54913-8415 | 2006-10-17 |
| 1295816205 | Wal-mart Stores Easst, Lp | Technician/Technologist | 3701 E Calumet St, Appleton, WI 54915-4149 | 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 |
| 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 |
| 1063650729 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4237 Lien Rd Ste E, Madison, WI 53704-3686 | 2009-02-03 |
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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.