Eyewear Specialists, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEWEAR SPECIALISTS, INC

Practice address

1301 E Northland Ave
Ste a
Appleton, WI 54911-8426

Phone

(920) 734-8714

Fax

(920) 734-8785

NPI assigned

Jun 3, 2006

Last updated

Dec 16, 2009By 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

Michelle Staeven-Coates

Title

Business Manager

Phone

(920) 734-8714

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kara H Harbick, MD

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1366481772
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1053359992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE",
            "address_2": "STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118426",
            "telephone_number": "920-734-8714",
            "fax_number": "920-734-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE",
            "address_2": "STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118426",
            "telephone_number": "920-734-8714",
            "fax_number": "920-734-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "STAEVEN-COATES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-734-8714"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Everson, MD
• Evolve LLC
• Expressive Therapies LLC
• Eyemart Express LLC
• Eyemart Express, LTD.
• Rebecca L Fabisch, APNP
• Courtney Garland Fabry, MA, CCC-SLP
• Faces Eyewear, Inc
• John A Fafinski
• Anney Renee Fahrenholz, M.S., BCBA

• Eyewear Supplier in Appleton, WI
• Providers in Appleton, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.