Shawn Allen Stoffregen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2396 Issued in WI

Practice address

3800 State Road 16
Suite 146
La Crosse, WI 54601-1826

Phone

(608) 781-8866

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyemart Express LLC

  • Eyewear Supplier
  • Onalaska, WI
  • NPI 1467850529
  NPD (past)
• Eyemart Express, LTD.

  • Durable Medical Equipment & Medical Supplies
  • La Crosse, WI
  • NPI 1992848279
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063597011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18186 ICICLE RD",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546564405",
            "telephone_number": "608-269-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STATE ROAD 16",
            "address_2": "SUITE 146",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011826",
            "telephone_number": "608-781-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFREGEN",
        "first_name": "SHAWN",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Stingl
• Michael Stitgen, MD
• Mary A Stockus, RD
• Alexander Jeffrey Stoeberl, PT, DPT
• Jessica Stoeffler
• Nadarra Lois Earline Stokes, MD
• Mary Ellen Stolder, NURSE PRACTITIONER
• Jeanne Stolp-Thorson, M.S., L.M.F.T.
• Carlie Anne Stone, REGISTERED NURSE
• Mary Stone, PA

• Optometrist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.