Active NPI
Margaret Coffen, OPTICIAN
- Optician
- Tomahawk, WI
National Provider Identifier
1083978605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 1334 N 4TH St Ste 101
Tomahawk, WI 54487-2106 - Phone
- (715) 224-2200
- Fax
- (419) 858-9769
- NPI assigned
- Jun 28, 2012
- Last updated
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1334 N 4TH St Ste 101
Tomahawk, WI 54487-2106
Mailing address
1334 N 4TH St Ste 101
Tomahawk, WI 54487-2106
Phone (715) 224-2200
Other practice location 1
7750 Hwy 51
Minocqua, WI 54548-9431
Phone (715) 224-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100246418 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minocqua Optical & Wellness LLC | Optician | Current | Accepting new patients |
| Tomahawk Eye Care Inc | Optician | Current | Accepting new patients |
Locations
1334 N 4th St
Ste 101
Tomahawk, WI 54487
Phone (715) 224-2200
Organizations & group practices 2
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.
-
- Optician
- Tomahawk, WI
- NPI 1235202318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1083978605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 N 4TH ST STE 101",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544872106",
"telephone_number": "715-224-2200",
"fax_number": "419-858-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 N 4TH ST STE 101",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544872106",
"telephone_number": "715-224-2200",
"fax_number": "419-858-9769"
}
],
"practiceLocations": [
{
"address_1": "7750 Hwy 51",
"address_purpose": "LOCATION",
"city": "Minocqua",
"state": "WI",
"postal_code": "545489431",
"country_code": "US",
"telephone_number": "715-224-2200",
"fax_number": "419-858-9769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFEN",
"first_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100246418",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.