Active NPI
Orlich Ophthalmic Consulting S.C.
- Optometrist
- Holmen, WI
National Provider Identifier
1013070820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1520
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38505100 | Medicaid | WI |
Other names 1
- Holmen Eye Clinic
National Provider Directory
National Provider DirectoryLocations
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.