DEAN RETAIL SERVICES, INC. (NPI# 1942323795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942323795 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSM HEALTH DAVIS DUEHR DEAN EYE CARE-EAST |
| Practice Address |
1821 S Stoughton Rd Ste 200 Madison WI 53716-2257 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6082606020 |
| Practice Fax Number | 6082606181 |
| 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 | 1942323795 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Davis Duehr Dean Eye Care - Stoughton | Doing Business As Name - Organization |
| SSM Health Davis Duehr Dean Eye Care-East | 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 |
| 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 |
| 1851414601 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 752 N High Point Rd, Suite 200, Madison, WI 53717-2236 | 2007-04-09 |
| Street Address |
1821 S STOUGHTON RD STE 200 |
| City | MADISON |
| State | WI |
| Zip Code | 53716-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1063650729 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4237 Lien Rd Ste E, Madison, WI 53704-3686 | 2009-02-03 |
| 1306971767 | Neill Vision Inc | Technician/Technologist | 7779 Highway 72 West, Madison, AL 35758 | 2007-02-23 |
| 1447398649 | Wisconsin Vision, Inc. | Technician/Technologist | 5505 Odana Rd, Madison, WI 53719-1205 | 2007-02-01 |
| 1518005719 | Wisconsin Vision, Inc | Technician/Technologist | 2612 E Washington Ave, Madison, WI 53704-5026 | 2007-02-01 |
| 1659426252 | Richard Charles Luke | Technician/Technologist | 1410 Eatonton Rd, Madison, GA 30650-4600 | 2007-01-24 |
| 1083791495 | Patrick Joseph Moriarty | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2006-11-01 |
| 1922358225 | Wal-mart Stores East Lp | Technician/Technologist | 8580 Highway 72 W, Madison, AL 35758-9578 | 2012-09-13 |
| 1689841231 | Madison Optical | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2008-05-13 |
| Find all providers in MADISON | ||||
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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.