NPIMap

Organization Active NPI

Eye Care Associates of Baraboo S.C.

  • Eyewear Supplier
  • Baraboo, WI
National Provider Identifier
1073647749
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1695 Issued in WI
Legal business name
EYE CARE ASSOCIATES OF BARABOO S.C.
Practice address
222 4TH Ave
Baraboo, WI 53913-2135
Phone
(608) 356-3972
NPI assigned
Mar 15, 2007
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Thomas Wayne Ritzenthaler, O.D.NPI 1962555409
Title
Optometrist
Phone
(608) 356-3972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1695 WI Primary

Addresses

Primary practice location

222 4TH Ave
Baraboo, WI 53913-2135

Mailing address

222 4TH Ave
Baraboo, WI 53913-2135
Phone (608) 356-3972

National Provider Directory

National Provider Directory

Locations

222 4th Ave
Baraboo, WI 53913
Phone (608) 356-3972

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1073647749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 4TH AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132135",
            "telephone_number": "608-356-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 4TH AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132135",
            "telephone_number": "608-356-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF BARABOO S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "RITZENTHALER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "608-356-3972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.