KATRINA M ANDERSON SCHALLER


Address: 2825 Hunters Trl Lowr Level, Portage, WI 53901-3429
Phone: 6087425522

KATRINA M ANDERSON SCHALLER (NPI# 1902850977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902850977
Entity Type Individual
Full Name KATRINA M ANDERSON SCHALLER
Credential OD
Practice Address 2825 Hunters Trl Lowr Level
Portage
WI 53901-3429
Practice Telephone 6087425522
Practice Fax Number 6087453054
Mailing Telephone 6087425522
Mailing Fax Number 6087453054
Enumeration Date 2006-05-22
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2983-035 WI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1902850977 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2851b New Pinery Rd, Lower Level, Portage, WI 539019257 6087425522 6087455454

Office Location

Street Address 2825 HUNTERS TRL LOWR LEVEL
City PORTAGE
State WI
Zip Code 53901-3429

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NPI Name Taxonomy Address Enumeration
1740710748 Robert James Corliss Internal Medicine St. Vincent Fmc, 140east Cook St., Portage, WI 53901 2017-06-13
1639328867 Casey Jo Ambort Speech-Language Pathologist 626 East Slifer St, Portage, WI 53901 2008-09-11
1871767400 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 132 W. Cook St., Portage, WI 53901 2008-04-15
1881872158 Marta Jean Jindra Physical Therapist 626 E Slifer Street, Portage, WI 53901 2008-02-08
1699953976 Lana Marie Edwards Speech-Language Pathologist 626 East Slifer Street, Portage, WI 53901 2008-02-08
1134314552 Kristina Hellenbrand Physical Therapist 2639 New Pinery Road, Suite 2, Portage, WI 53901 2007-09-10
1689727810 Gregory Allan Bindl Chiropractor 2121new Pinery Rd, Portage, WI 53901 2007-01-19
1720149156 Timothy J Rosin Dds Sc Dentist 2570 New Pinery Rd, Portage, WI 53901 2006-12-12
1710083779 Currani Seubert Dental Office LLC Dentist 260 W Cook St, Portage, WI 53901 2006-09-16
1225090525 University of Wisconsin Medical Foundation Inc Durable Medical Equipment & Medical Supplies 2977 Cty Hwy Cx, Portage, WI 53901 2006-04-04
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669711438 Portage Family Vision Care, PC Optometrist 6483 S Westnedge Ave, Portage, MI 49002-3542 2013-02-13
1679873343 Portage Family Vision Care, PC Optometrist 6483 S. Westnedge Ave., Portage, MI 49002-3542 2010-10-28
1841477783 Brian Lee Weller Optometrist 6650 S Westnedge Ave Ste 232, Portage, MI 49024-3503 2008-01-22
1720128895 Aaron John Whitsett Optometrist 6410 S Westnedge, Portage, MI 49002 2007-02-07
1841353943 Laura H Mitchell Optometrist 6650 S Westnedge Ave, Ste 232 Crossroads Mall, Portage, MI 49024-3597 2006-12-19
1770647505 Matthew A Parker Optometrist 6780 S Westnedge Ave, Portage, MI 49024-3589 2006-12-19
1073681797 David P Williams Optometrist 410 E Centre Ave, Portage, MI 49002-5541 2006-12-01
1831263995 Drs Elliott & Webb, S.c. Optometrist 304 W Cook St, Portage, WI 53901-2108 2006-11-20
1245318179 William Scott Goldthorpe Optometrist 130 Henry Dr, Portage, WI 53901-1105 2006-11-01
1457444093 Lance Olson Optometrist 6097 Us Highway 6, Portage, IN 46368-5215 2006-10-02
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Competitor

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City PORTAGE
Zip Code 53901

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Dataset Information

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.

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