A B See Vision Therapy Centers SC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1576 Issued in WI

Legal business name

A B SEE VISION THERAPY CENTERS SC

Practice address

1401 McMahon Dr.
Suite 100
Neenah, WI 54956

Phone

(920) 722-2020

Fax

(920) 722-2022

NPI assigned

May 8, 2008

Last updated

Oct 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Marie Dejmek, OD, FCOVDNPI 1144286451

Title

Owner

Phone

(920) 722-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Marie Dejmek, OD

  • Optometrist
  • Appleton, WI
  • NPI 1144286451
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1003083114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MCMAHON DR.",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-722-2020",
            "fax_number": "920-722-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MCMAHON DR.",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-722-2020",
            "fax_number": "920-722-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A B SEE VISION THERAPY CENTERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "DEJMEK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-722-2020",
        "authorized_official_credential": "OD, FCOVD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WI",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Therapy Optometrist in Neenah, WI
• Providers in Neenah, WI by specialty
• Vision Therapy Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.