NPIMap

Organization Active NPI

Independent Vision Group, LTD

  • Ophthalmology Physician
  • Eau Claire, WI
National Provider Identifier
1043836182
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
INDEPENDENT VISION GROUP, LTD
Practice address
2125 Heights Dr Ste 1a
Eau Claire, WI 54701-6146
Phone
(715) 449-8400
Fax
(719) 449-8400
NPI assigned
Jun 24, 2020
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Stephanie Harvey
Title
Ceo
Phone
(715) 797-8310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2125 Heights Dr Ste 1a
Eau Claire, WI 54701-6146

Mailing address

2125 Heights Dr Ste 1a
Eau Claire, WI 54701-6146
Phone (715) 449-8400

Other practice location 1

1608 Ohm Ave
Eau Claire, WI 54701
Phone (715) 797-8310

Other practice location 2

1608 Ohm Ave
Eau Claire, WI 54701-4611
Phone (715) 449-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805001103 WI Part B Supplier - Clinic/Group Practice 0648695833 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomer, WI; Menomonie, WI; Eau Claire, WI; Cumberland, WI; Chippewa Falls, WI; Black River Falls, WI; Barron, WI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

341 E La Salle Ave
Barron, WI 54812
Phone (715) 637-2020

127 Main St
Blk River Fls, WI 54615
Phone (715) 271-4948

2044 15th Ave
Cameron, WI 54822
Phone (715) 458-3937

1608 Ohm Ave
Eau Claire, WI 54701
Phone (715) 797-8310

2125 Heights Dr
Ste 1A
Eau Claire, WI 54701
Phone (715) 449-8410

2301 Schneider Ave SE
Menomonie, WI 54751

501 Hewett St
Neillsville, WI 54456

N5010 Beaverbrook Ave
Spooner, WI 54801
Phone (715) 635-2020

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1043836182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HEIGHTS DR STE 1A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016146",
            "telephone_number": "715-449-8400",
            "fax_number": "715-449-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HEIGHTS DR STE 1A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016146",
            "telephone_number": "715-449-8400",
            "fax_number": "719-449-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Ohm Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "54701",
            "country_code": "US",
            "telephone_number": "715-797-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Ohm Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014611",
            "country_code": "US",
            "telephone_number": "715-449-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENT VISION GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-797-8310"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.