LANCE ENGDAHL (NPI# 1689730681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689730681 |
| Entity Type | Individual |
| Full Name | LANCE ENGDAHL |
| Credential | OD |
| Practice Address |
7425 W. Appleton Avenue Milwaukee WI 53216 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 4144645440 |
| Practice Fax Number | 4144640996 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2711-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38616700 | 05 |
| Street Address |
7425 W. APPLETON AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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 |
|---|---|---|---|---|
| 1417322777 | Anjli J Bedi | Optometrist | 2110 E. Oklahoma Ave, Suite B, Milwaukee, WI 53207-2922 | 2015-12-11 |
| 1952615346 | Chad Anthony Schirner | Optometrist | 7425 W. Appleton Ave, Milwaukee, WI 53216 | 2010-07-28 |
| 1891944898 | Tracy Lynn Buege | Optometrist | 905a E Center St, Milwaukee, WI 53212-3049 | 2008-09-15 |
| 1508015660 | Mcginley Eye Associates S.c. | Optometrist | 2634 N Downer Ave, Milwaukee, WI 53211-4244 | 2008-09-14 |
| 1033386032 | Milwaukee Family Vision Center Inc | Optometrist | 8532 W Lisbon Ave, Milwaukee, WI 53222-3729 | 2008-05-09 |
| 1679749170 | North Avenue Vision Center | Optometrist | 2230 W North Ave, Milwaukee, WI 53205-1134 | 2008-05-05 |
| 1407079981 | Cynthia G Johnson Od Sc | Optometrist | 2500 Mayfair Rd, Dean and Fletcher, Milwaukee, WI 53226 | 2007-04-11 |
| 1033246111 | Mark Martin Konyn | Optometrist | 815 N Cass St, Milwaukee, WI 53202-3908 | 2007-02-27 |
| 1669510244 | Eye Care Vision Centers | Optometrist | 8201 W Capitol Dr, Milwaukee, WI 53222-1948 | 2007-02-03 |
| 1063565299 | Brian B Mcginley | Optometrist | 2634 N. Downer Avenue, Milwaukee, WI 53211-4244 | 2007-01-19 |
| Find all providers in MILWAUKEE | ||||
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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.