DEAN RETAIL SERVICES, INC. (NPI# 1760505515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760505515 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSM HEALTH DAVIS DUEHR DEAN EYE CARE - SUN PRAIRIE |
| Practice Address |
10 Tower Dr Suite 200 Sun Prairie WI 53590-1239 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6088253500 |
| Practice Fax Number | 6088253794 |
| Mailing Telephone | 6082946218 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | AMY J. GRINNELL (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | WI | Suppliers | |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 384-47-600 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Davis Duehr Dean Eye Care - Sun Prairie | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052211 | Dean Retail Services, Inc. | Pharmacy | 310 Integrity Dr, Madison, WI 53717-1416 | 2020-04-20 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1972082881 | Dean Retail Services, Inc. | Pharmacy | 2825 Hunters Trl Ste 300, Portage, WI 53901-3429 | 2018-08-10 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1457461147 | Dean Retail Services, Inc. | Pharmacy | 753 N. Main St, Suite 300, Oregon, WI 53575-1003 | 2006-08-30 |
| 1780794479 | Dean Retail Services, Inc. | Pharmacy | 752 N. High Point Rd, Suite 300, Madison, WI 53717-2236 | 2006-08-30 |
| 1407966195 | Dean Retail Services, Inc. | Pharmacy | 1821 S. Stoughton Rd., Suite 300, Madison, WI 53716-2257 | 2006-08-30 |
| 1992815682 | Dean Retail Services, Inc. | Pharmacy | 3200 East Racine Street, Suite 300, Janesville, WI 53546-2343 | 2006-08-30 |
| 1124450416 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1300 S Century Ave, Suite 200, Waunakee, WI 53597-2386 | 2013-08-08 |
| Street Address |
10 TOWER DR SUITE 200 |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907310 | Melissa Mcgowan Terrill | Optometrist | 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590-1239 | 2005-10-27 |
| 1760989982 | Kimberly K Ward | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-04-13 |
| 1205331303 | Laura A. Jacobson | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-03-29 |
| 1194242917 | Ashley M Braithwaite | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-08-23 |
| 1609315159 | Kailene L Devries | Physician Assistant | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-02-16 |
| 1992250112 | Amanda E Conway | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-17 |
| 1134673783 | Stephanie M Johnson | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-12 |
| 1912361452 | Lindsey W Engel | Family Medicine | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-04-11 |
| 1154796357 | Eva Balfanz | Counselor | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-12-14 |
| 1568839181 | Jolene E Appiah | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| 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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| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.