NPIMap

Organization Active NPI

Vision Pro

  • Optometrist
  • Superior, WI
National Provider Identifier
1013161645
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION PRO
Practice address
2427 Tower Ave
Superior, WI 54880-4841
Phone
(715) 394-7999
Fax
(715) 394-7999
NPI assigned
Nov 10, 2008
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Jamie L Hopp
Title
Billing Manager
Phone
(218) 724-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2427 Tower Ave
Superior, WI 54880-4841

Mailing address

2427 Tower Ave
Superior, WI 54880-4841
Phone (715) 394-7999

National Provider Directory

National Provider Directory
Tax ID family
Vision Pro12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2427 Tower Ave
Superior, WI 54880
Phone (715) 394-7999

Practitioners & affiliated clinicians

Practitioners 2

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": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1013161645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804841",
            "telephone_number": "715-394-7999",
            "fax_number": "715-394-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804841",
            "telephone_number": "715-394-7999",
            "fax_number": "715-394-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "HOPP",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "218-724-1341"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.