Individual provider Active NPI

Margaret Coffen, OPTICIAN

  • Optician
  • Tomahawk, WI
National Provider Identifier
1083978605
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100246418MedicaidWI

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

OrganizationSpecialtyStatusNew patients
Minocqua Optical & Wellness LLC Optician CurrentSince Dec 1, 2023 Accepting new patients
Tomahawk Eye Care Inc Optician CurrentSince Apr 1, 2023 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.

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.

Verify at the official NPI Registry.