Active NPI
Dr. Ronald J. Piffl, Optometrist, LLC
- Optometrist
- Merrill, WI
National Provider Identifier
1114220225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2560
- Legal business name
- DR. RONALD J. PIFFL, OPTOMETRIST, LLC
- Practice address
- 1007 E 1St St
Merrill, WI 54452-2511 - Phone
- (715) 536-3250
- Fax
- (715) 536-2020
- NPI assigned
- Dec 10, 2010
- Last updated
- Feb 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Piffl
- Title
- Office Manager
- Phone
- (715) 536-3250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2560 | WI | Primary |
Addresses
Primary practice location
1007 E 1St St
Merrill, WI 54452-2511
Mailing address
1007 E 1St St
Merrill, WI 54452-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38589400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110127000427 | WI | Part B Supplier - Clinic/Group Practice | 1850570565 | Practice locations: Merrill, WI |
National Provider Directory
National Provider DirectoryLocations
1007 E 1st St
Merrill, WI 54452
Phone (715) 536-3250
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optician
- Merrill, WI
- NPI 1699621912
-
- Optometrist
- Merrill, WI
- NPI 1790750503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1114220225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 E 1ST ST",
"city": "MERRILL",
"state": "WI",
"postal_code": "544522511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E 1ST ST",
"city": "MERRILL",
"state": "WI",
"postal_code": "544522511",
"telephone_number": "715-536-3250",
"fax_number": "715-536-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RONALD J. PIFFL, OPTOMETRIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-10",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "PIFFL",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "715-536-3250"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38589400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.