DR. CYNTHIA A MALVITZ-OVERLY


Address: 1515 6th St, Green Bay, WI 54304-2272
Phone: 9204992147

DR. CYNTHIA A MALVITZ-OVERLY (NPI# 1457498602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457498602
Entity Type Individual
Full Name DR. CYNTHIA A MALVITZ-OVERLY
Credential O.D., F.A.A.O.
Practice Address 1515 6th St
Green Bay
WI 54304-2272
Practice Telephone 9204992147
Practice Fax Number 9204990574
Mailing Telephone (920) 499-2147
Mailing Fax Number 9204990574
Enumeration Date 2007-01-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2511-035 WI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI DEA# MO0348943 01
WI STATE LICENSE # 2511-035 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
126 Charles St, Oconto, WI 541539446 9208345251 9208349801

Office Location

Street Address 1515 6TH ST
City GREEN BAY
State WI
Zip Code 54304-2272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508903766 Randall J Paye Optometrist 1515 6th St, Green Bay, WI 54304-2272 2007-01-30
1942862933 Myeyedr Optometry of Wisconsin, LLC Optometrist 1515 6th St, Green Bay, WI 54304-2272 2019-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689196255 Kristen Ashley Haltom Registered Nurse 2979 Allied St Suite C, Green Bay, WI 54304 2017-07-14
1649671421 Heather Marie Novak Counselor 2979 Allied St Unit C, Green Bay, WI 54304 2014-09-11
1356777684 Nathan Weir Specialist/Technologist 1265 Lombardi Avenue, Green Bay, WI 54304 2013-09-18
1922349927 John W Hartman Internal Medicine 916 Willard Dr, Suite 200, Green Bay, WI 54304 2013-03-15
1447551379 Citralina M Haruo Community Health Worker 1110 11th Avenue, Green Bay, WI 54304 2010-11-09
1497061352 Daniel James Gustin Pharmacist 1109 Lombardi Ave, Green Bay, WI 54304 2010-08-28
1316259898 Karen A Detrick Occupational Therapy Assistant 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 2010-07-13
1861667362 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 2008-04-25
1891967303 Kimberley M Welk Marriage & Family Therapist 926 Willard Dr Ste 136, Green Bay, WI 54304 2008-03-25
1750563698 Richard Lawrence Beyer Hearing Instrument Specialist 2154 S Ridge Rd, Green Bay, WI 54304 2007-12-03
Find all providers in zip 54304

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861054314 Myeyedr Optometry of Wisconsin, LLC Optometrist 535 S Monroe Ave, Green Bay, WI 54301-4017 2019-07-05
1588177539 Voss Eyecare Sc Optometrist 605 S Military Ave, Green Bay, WI 54303-2211 2017-11-13
1922440429 Jessica Hilbert Optometrist 2461 Holmgren Way, Green Bay, WI 54304-5224 2013-07-24
1780971499 Craig Alan Keller Optometrist 301 Bay Park Square, Green Bay, WI 54304-5104 2011-07-01
1902104946 Howard Vision Clinic Inc Optometrist 2149 Velp Ave Ste 100, Green Bay, WI 54303-5424 2011-02-28
1275845414 Michelle Schleis Optometrist 2851 University Ave, Green Bay, WI 54311-5855 2010-07-03
1336322502 T.j. Pease & Associates, S.c. Optometrist 2324 University Ave, Green Bay, WI 54302-4536 2007-12-11
1447441779 Muller Eyecare Associates Ltd Optometrist 1776 E Mason St, Green Bay, WI 54302 2007-08-01
1699974980 Eye Associates of Green Bay, Sc Optometrist 2020 Riverside Dr Ste 201, Green Bay, WI 54301-2300 2007-07-16
1508903766 Randall J Paye Optometrist 1515 6th St, Green Bay, WI 54304-2272 2007-01-30
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54304

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Dataset Information

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.

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