Organization Active NPI

Orlich Ophthalmic Consulting S.C.

  • Optometrist
  • Holmen, WI
National Provider Identifier
1013070820
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1520 Issued in WI
Legal business name
ORLICH OPHTHALMIC CONSULTING S.C.
Practice address
106 S Holmen Dr
Suite 6
Holmen, WI 54636-9467
Phone
(608) 526-1177
Fax
(608) 526-4131
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Douglas Milton Orlich, O.D.
Title
President
Phone
(608) 526-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1520 WI Primary

Addresses

Primary practice location

106 S Holmen Dr
Suite 6
Holmen, WI 54636-9467

Mailing address

106 S Holmen Dr
Suite 6
Holmen, WI 54636-9467
Phone (608) 526-1177

Other identifiers 1

IdentifierTypeStateIssuer
38505100MedicaidWI

Other names 1

  • Holmen Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

106 S Holmen Dr
Ste 6
Holmen, WI 54636
Phone (608) 526-1177

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1013070820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR",
            "address_2": "SUITE 6",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369467",
            "telephone_number": "608-526-1177",
            "fax_number": "608-526-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR",
            "address_2": "SUITE 6",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369467",
            "telephone_number": "608-526-1177",
            "fax_number": "608-526-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLICH OPHTHALMIC CONSULTING S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ORLICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-526-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38505100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmen Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.