NPIMap

Organization Active NPI

Charles Kent Meng O D LTD

  • Eyewear Supplier
  • Rice Lake, WI
National Provider Identifier
1144486614
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
01449 Issued in WI
Legal business name
CHARLES KENT MENG O D LTD
Practice address
2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone
(715) 234-2787
Fax
(715) 234-8920
NPI assigned
Aug 4, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Charles Kent Meng, O.D.NPI 1558477950
Title
Doctor/Owner
Phone
(715) 234-1787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 01449 WI Primary

Addresses

Primary practice location

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578

Mailing address

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone (715) 234-2787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1144486614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688578",
            "telephone_number": "715-234-2787",
            "fax_number": "715-234-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688578",
            "telephone_number": "715-234-2787",
            "fax_number": "715-234-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KENT MENG O D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "715-234-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "01449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.