NPIMap

Organization Active NPI

Eggert & Eggert LLC

Doing business as Eggert Family Eyecare

  • Optometrist
  • Kiel, WI
National Provider Identifier
1013041912
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EGGERT & EGGERT LLC
Doing business as
Eggert Family Eyecare
Practice address
707 Park Avenue
Kiel, WI 53042-1717
Phone
(920) 894-2020
Fax
(920) 894-2027
NPI assigned
Mar 15, 2007
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Steven D Eggert, ODNPI 1588686935
Title
Owner/Optometrist
Phone
(920) 686-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

707 Park Avenue
Kiel, WI 53042-1717

Mailing address

707 W Park Ave
Kiel, WI 53042-1717
Phone (920) 894-2020

Other names 1

  • Eggert Family Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

550 N Military Ave
Ste 10
Green Bay, WI 54303
Phone (920) 498-2020

519 Fremont St
Kiel, WI 53042
Phone (920) 894-2020

707 W Park Ave
Kiel, WI 53042
Phone (920) 498-2020

3651 Dewey St
Ste B
Manitowoc, WI 54220
Phone (920) 686-1000

700 E Magnolia Ave
Ste 430
Manitowoc, WI 54220
Phone (920) 684-0658

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1013041912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W PARK AVE",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421717",
            "telephone_number": "920-894-2020",
            "fax_number": "920-894-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARK AVENUE",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421717",
            "telephone_number": "920-894-2020",
            "fax_number": "920-894-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGERT & EGGERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "920-686-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eggert Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kiel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.