REGNER FAMILY VISION CLINIC, S.C. (NPI# 1871655787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871655787 |
| Entity Type | Organization |
| Organization Name | REGNER FAMILY VISION CLINIC, S.C. |
| Practice Address |
4014 77th St Kenosha WI 53142-4314 |
| Practice Telephone | 2626949103 |
| Practice Fax Number | 2626949106 |
| Mailing Telephone | 2626949103 |
| Mailing Fax Number | 2626949106 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | DR. JOHN L REGNER (PRESIDENT) |
| Authorized Official Telephone | 2626949103 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1356-035 | WI | Suppliers |
| Street Address |
4014 77TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814336 | Walter Rudolph Wiesztort | Chiropractor | 4014 77th St, Ste. 2, Kenosha, WI 53142-4314 | 2005-07-11 |
| 1679990774 | Kenosha Family Vision Care LLC | Optometrist | 4014 77th St, Kenosha, WI 53142-4314 | 2014-03-26 |
| 1932285400 | Jennifer L Ayers | Optometrist | 4014 77th St, Kenosha, WI 53142-4314 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1629631536 | Pain Centers of Wisconsin - Kenosha, LLC | Durable Medical Equipment & Medical Supplies | 9697 Saint Catherines Dr Ste 102, Kenosha, WI 53158-2119 | 2019-04-16 |
| 1760910731 | Xibalba Technological Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1409 Sheridan Rd, Kenosha, WI 53140-4443 | 2017-06-02 |
| 1497291116 | Gustavo Urbina | Durable Medical Equipment & Medical Supplies | 4623 75th St, Suite 279, Kenosha, WI 53142-3701 | 2017-01-19 |
| 1639564578 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 7701 Green Bay Rd, Kenosha, WI 53142-4043 | 2015-03-30 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1912201534 | Livingwell Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 3921 30th Ave Ste B, Kenosha, WI 53144-1957 | 2010-12-23 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1396970489 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3300 Brumback Blvd, Kenosha, WI 53144-4815 | 2009-05-19 |
| 1043444391 | Homestead Independence Inc | Durable Medical Equipment & Medical Supplies | 3203 Washington Rd, Suite G, Kenosha, WI 53144-1643 | 2009-05-14 |
| Find all providers in KENOSHA | ||||
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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.