Optical Fashions LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2705 Issued in WI

Legal business name

OPTICAL FASHIONS LTD

Practice address

2104 State Rd 16
La Crosse, WI 54601

Phone

(608) 782-7127

Fax

(608) 782-7124

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Holly M Fisher, ODNPI 1437275799

Title

President/Owner

Phone

(608) 782-7127

Specialties & licenses 5

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Optical Fashions LTD

  • Optometrist
  • Holmen, WI
  • NPI 1780198515

  O20050110000483

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Optical Fashions LTD

  • Optometrist
  • Holmen, WI
  • NPI 1780198515
  NPPES parent name

Practitioners 6

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

• Holly Fisher, OD

  • Optometrist
  • La Crosse, WI
  • NPI 1437275799
  Medicare reassignment Care Compare group NPD Authorized official
• Kendra Erickson Garbrecht, O.D.

  • Optometrist
  • La Crosse, WI
  • NPI 1508962879
  Medicare reassignment Care Compare group NPD
• Brenda S Wedig, O.D

  • Optometrist
  • La Crosse, WI
  • NPI 1699931139
  Medicare reassignment Care Compare group NPD
• Robin Elizabeth Theye, OD

  • Optometrist
  • Winona, MN
  • NPI 1750544383

  WI

  Medicare reassignment Care Compare group NPD
• John Michael Latham, OD

  • Optometrist
  • La Crosse, WI
  • NPI 1801729827
  Medicare reassignment Care Compare group NPD (past)
• John Hoehn, OD

  • Optometrist
  • La Crosse, WI
  • NPI 1770609174
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1083718183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 STATE RD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013046",
            "telephone_number": "608-782-7127",
            "fax_number": "608-782-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 STATE RD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-782-7127",
            "fax_number": "608-782-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL FASHIONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "608-782-7127",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1586",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1575",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2705",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3116",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38645900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38509300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38602800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020764",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38512500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onalaska Wellness Center
• Olakunle Joseph Oni, MD, MPH
• Angela Marie Onsgard, R.D.
• David A Onsrud, DO
• Onyekachi Sunny Onyeabor, M.D., M.P.H
• Options in Reproductive Care, Inc.
• Benjamin Orozco, MD
• Jennifer Marie Orozco, M.D.
• Chara L Orth, RD
• Dawn M. Ortiz, OT

• 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 Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.