MIDWEST EYE LABORATORIES INC (NPI# 1841417169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841417169 |
| Entity Type | Organization |
| Organization Name | MIDWEST EYE LABORATORIES INC |
| Practice Address |
4005 Community Center Dr Suite 202 Weston WI 54476-4139 |
| Mailing Address |
4606 Commerce Valley Rd Suite 201 Eau Claire WI 54701-7075 |
| Practice Telephone | 7158332277 |
| Practice Fax Number | 7158332277 |
| Mailing Telephone | 7158332277 |
| Mailing Fax Number | 7158332295 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | MICHAEL R BARRETT (PRESIDENT OCULARIST) |
| Authorized Official Telephone | 7158332277 |
| Authorized Official Credential | B.C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38430000 | 05 | |
| WI | 1841416062 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265659577 | Midwest Eye Laboratories Inc | Prosthetic/Orthotic Supplier | 20 2nd Ave Sw, Suite 223, Rochester, MN 55902-3027 | 2007-04-19 |
| 1386861367 | Midwest Eye Laboratories Inc | Technician/Technologist | 4606 Commerce Valley Rd, Suite 201, Eau Claire, WI 54701-7075 | 2007-04-19 |
| 1659598043 | Midwest Eye Laboratories Inc | Prosthetic/Orthotic Supplier | 7582 Currell Blvd, Suite 109, Woodbury, MN 55125-2262 | 2007-04-19 |
| 1558588855 | Midwest Eye Laboratories Inc | Prosthetic/Orthotic Supplier | 1600 S Western Ave, Suite C, Sioux Falls, SD 57105-1307 | 2007-04-19 |
| Street Address |
4005 COMMUNITY CENTER DR SUITE 202 |
| City | WESTON |
| State | WI |
| Zip Code | 54476-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227976 | John K Paulson | Internal Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2006-05-30 |
| 1912379785 | Stephanie Werner | Nurse Practitioner | 4005 Community Center Dr, #202, Weston, WI 54476-4139 | 2015-10-20 |
| 1194104075 | Daniel Joseph Smith | Family Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2015-05-25 |
| 1013342575 | Erin Schoenfuss | Physician Assistant | 4005 Community Center Dr, Weston, WI 54476-4139 | 2013-09-03 |
| 1669815106 | Fabio Catao | Psychiatry & Neurology | 4005 Community Center Dr, Weston, WI 54476-4139 | 2013-04-15 |
| 1568714723 | Katie Anderson | Nurse Practitioner | 4005 Community Center Dr, Weston, WI 54476-4139 | 2012-10-11 |
| 1720371321 | Coy H Johnston IIi | Family Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2011-05-16 |
| 1700116084 | Aspirus Wausau Hospital Inc | Clinic/Center | 4005 Community Center Dr, Weston, WI 54476-4139 | 2010-01-08 |
| 1235340753 | Amy Ann Sweet | Internal Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2007-05-25 |
| 1265648000 | Aspirus Clinics, Inc | Clinic/Center | 4005 Community Center Dr, Suite 202, Weston, WI 54476-4139 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930110 | Stonewall Home Oxygen Therapy, Inc. | Prosthetic/Orthotic Supplier | 456 Suite A Market Place Mall, Weston, WV 26452-6938 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932604 | Cassie Mae Mathis | Prosthetic/Orthotic Supplier | W1643 Greiner Rd, Freedom, WI 54130-7943 | 2020-11-03 |
| 1649648973 | Nordstrom | Prosthetic/Orthotic Supplier | 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 | 2015-09-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1073807475 | Ralph's Shoes | Prosthetic/Orthotic Supplier | 336 Water St, Eau Claire, WI 54703-6132 | 2011-06-02 |
| 1982904769 | Better Balance LLC | Prosthetic/Orthotic Supplier | 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 | 2010-10-27 |
| 1861718744 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 165 W Huron St, Berlin, WI 54923-1590 | 2010-04-16 |
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| 1376866954 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 831 Dallas St, Chetek, WI 54728-5811 | 2010-03-10 |
| 1124356993 | Natural Tresses LLC | Prosthetic/Orthotic Supplier | 2011 N Richmond St, Appleton, WI 54911-2771 | 2009-12-05 |
| Find all providers with the same taxonomy | ||||
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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.