Progressive Family Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3075-35 Issued in WI

Legal business name

PROGRESSIVE FAMILY EYECARE LLC

Practice address

105 Kings Lynn Rd
Stoughton, WI 53589-1999

Phone

(608) 873-2020

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Brady Haferman, O.D.

Title

Optometrist/Owner

Phone

(608) 873-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce George Barry

  • Optician
  • Stoughton, WI
  • NPI 1407908254
  NPD (past)
• Jeffrey Clements, O.D.

  • Optometrist
  • Sun Prairie, WI
  • NPI 1154552875
  NPD (past)
• Celeste K Jend, OD

  • Optometrist
  • Madison, WI
  • NPI 1629045117
  NPD (past)
• Andrea Lee Langer, O.D.

  • Optometrist
  • Madison, WI
  • NPI 1235237751
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1083089882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGS LYNN RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891999",
            "telephone_number": "608-873-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KINGS LYNN RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891999",
            "telephone_number": "608-873-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HAFERMAN",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "608-873-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3075-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen H Pletta, MD
• Nicole Ashley Poland, RCS LPN
• Amber Pope, PTA
• Premier Hearing Solutions
• Elizabeth M Priniski, CD, CVD
• Mary Quade, OTR
• Christina A Quale, M.D.
• Prasanna Raman, MD
• Annmarie Kathleen Ransom, AGPCNP-BC
• Ashish M Rawal, MD

• Optometrist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.