Active NPI
Visioncare Incorporated
- Optometrist
- Ripon, WI
National Provider Identifier
1124121918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISIONCARE INCORPORATED
- Practice address
- 113 Watson St
Ripon, WI 54971-1326 - Phone
- (920) 748-2676
- Fax
- (920) 748-5105
- NPI assigned
- Sep 6, 2006
- 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
- Dr. Victor H. Roeder III, O.D.
- Title
- Vice President
- Phone
- (920) 748-2676
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 | Primary |
Addresses
Primary practice location
113 Watson St
Ripon, WI 54971-1326
Mailing address
PO Box 202
Ripon, WI 54971-0202
Phone (920) 748-2676
Other names 1
- VISONCARE ASSOCIATES INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Visioncare Associates Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
113 Watson St
Ripon, WI 54971
Phone (414) 748-2676
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Vision Optometrist
- Ripon, WI
- NPI 1417050246
-
- Occupational Vision Optometrist
- Ripon, WI
- NPI 1396848107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1124121918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "RIPON",
"state": "WI",
"postal_code": "549710202",
"telephone_number": "920-748-2676",
"fax_number": "920-748-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATSON ST",
"city": "RIPON",
"state": "WI",
"postal_code": "549711326",
"telephone_number": "920-748-2676",
"fax_number": "920-748-5105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONCARE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "ROEDER",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "920-748-2676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VISONCARE ASSOCIATES INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ripon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.