JOLANDA BURNETT (NPI# 1568835544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568835544 |
Entity Type | Individual |
Full Name | JOLANDA BURNETT |
Credential | ABOC |
Practice Address |
1645 N Central Ave Marshfield WI 54449-1550 |
Practice Telephone | 7155023464 |
Practice Fax Number | 7155023463 |
Mailing Telephone | 7155023464 |
Mailing Fax Number | 7155023463 |
Enumeration Date | 2015-11-12 |
Last Update Date | 2015-11-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
1645 N CENTRAL AVE |
City | MARSHFIELD |
State | WI |
Zip Code | 54449-1550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992179287 | Joey's Optical, LLC | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449 | 2015-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
Find all providers in zip 54449 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952482861 | Wal-mart Stores East, Lp | Technician/Technologist | 14740 State Hwy # 38, Marshfield, MO 65706 | 2006-10-18 |
1992179287 | Joey's Optical, LLC | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449 | 2015-11-24 |
1265513170 | Wal-mart Stores East, Lp | Technician/Technologist | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2006-10-18 |
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 |
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 |
1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
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 |
1487894929 | America's Best Contact & Eyeglasses | Technician/Technologist | 4784 Integrity Way, Appleton, WI 54913-8464 | 2009-02-24 |
Find all providers with the same taxonomy |
City | MARSHFIELD |
Zip Code | 54449 |
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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.