DR. KENDRA ERICKSON GARBRECHT (NPI# 1508962879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508962879 |
| Entity Type | Individual |
| Full Name | DR. KENDRA ERICKSON GARBRECHT |
| Credential | O.D. |
| Practice Address |
2104 State Road 16 La Crosse WI 54601-3046 |
| Mailing Address |
N4637 Timbercrest Dr E Onalaska WI 54650-8623 |
| Practice Telephone | 6087827127 |
| Practice Fax Number | 6087827124 |
| Mailing Telephone | 6087994138 |
| Mailing Fax Number | 6087811590 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3263 | MN | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3129-035 | WI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 02325 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | GROUP NPI | 1215110424 | 01 |
| WI | INDIVIDUAL PTAN | 870360007 | 01 |
| Street Address |
2104 STATE ROAD 16 |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790185502 | Daniel Puls | Optometrist | 2104 State Road 16, La Crosse, WI 54601 | 2014-08-28 |
| 1699931139 | Brenda S Wedig | Optometrist | 2104 State Road 16, La Crosse, WI 54601-3046 | 2008-08-04 |
| 1528184801 | Thomas Culver | Optometrist | 2104 State Road 16, La Crosse, WI 54601-3046 | 2007-03-21 |
| 1770609174 | John Hoehn | Optometrist | 2104 State Road 16, La Crosse, WI 54601-3046 | 2007-03-21 |
| 1437275799 | Holly Fisher | Optometrist | 2104 State Road 16, La Crosse, WI 54601-3046 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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 |
|---|---|---|---|---|
| 1083718183 | Optical Fashions Ltd | Optometrist | 2104 State Rd 16, La Crosse, WI 54601 | 2006-09-11 |
| 1528018975 | Colleen Nicole Konkel | Optometrist | 4344 Mormon Coulee Rd, La Crosse, WI 54601-7908 | 2006-05-10 |
| 1174500870 | Sara E Pastryk | Optometrist | 3424 Mormon Coulee Rd, La Crosse, WI 54601-6750 | 2005-12-23 |
| 1477182079 | Megan Marie Hafner | Optometrist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-06 |
| 1578026738 | Aimee Noelle Violette | Optometrist | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-04-12 |
| 1992268551 | Brianne J Herlitzke | Optometrist | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-04-10 |
| 1316439813 | Cathy Qin | Optometrist | 1836 South Ave, La Crosse, WI 54601 | 2018-05-31 |
| 1740778646 | Martin Jon Williamson | Optometrist | 1836 South Ave, La Crosse, WI 54601 | 2018-04-25 |
| 1881129120 | George Niforos Bouras | Optometrist | 1836 South Ave, La Crosse, WI 54601-5429 | 2017-04-24 |
| 1073992194 | Kristen Marie Reierson | Optometrist | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-05-21 |
| Find all providers in LA CROSSE | ||||
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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.