Congdon Optometry Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

CONGDON OPTOMETRY INC

Practice address

3003 Cleveland Ave
Suite a
Marinette, WI 54143

Phone

(715) 732-2101

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Lynne Congdon

Title

Treasurer

Phone

(715) 732-2101

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Congdon, O.D.

  • Optometrist
  • Marinette, WI
  • NPI 1467866509
  Medicare reassignment NPD
• Kevin Congdon, O. D.

  • Optometrist
  • Marinette, WI
  • NPI 1154447134
  Medicare reassignment NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1003932088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CLEVELAND AVE STE C",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433761",
            "telephone_number": "715-732-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGDON OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "CONGDON",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "715-732-2101"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mridani Choudhury, M.D.
• Kelly Ann Christian, RN
• Cynthia Churm, MSW LCSW
• Brian Cleven, ATC, LAT, RCEP
• Communication Cabin Inc.
• Andrew Congdon, O.D.
• Kevin Congdon, O. D.
• Nicole Ann Conklin, PHARMD
• Julie R Conley, PHYSICAL THERAPIST
• Mitchell C Connell, LPC

• Optician in Marinette, WI
• Providers in Marinette, WI by specialty
• Optician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.