West Bend Optical, Inc

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Legal business name

WEST BEND OPTICAL, INC

Practice address

3720 W. Washington St.
West Bend, WI 53095-8406

Phone

(262) 338-1800

Fax

(262) 338-1947

NPI assigned

Apr 2, 2007

Last updated

Aug 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra H. Olson

Title

VP

Phone

(262) 338-1800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1023138922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W. WASHINGTON ST.",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958406",
            "telephone_number": "262-338-1800",
            "fax_number": "262-338-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W. WASHINGTON ST.",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958406",
            "telephone_number": "262-338-1800",
            "fax_number": "262-338-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BEND OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "262-338-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1756",
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joni Westenberger, OT
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• Matthew M Weston, MD

• Technician/Technologist in West Bend, WI
• Providers in West Bend, WI by specialty
• Technician/Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.