Organization Active NPI

Tarpenning & Associates

Doing business as Lake Optical

  • Eyewear Supplier
  • Rice Lake, WI
National Provider Identifier
1184727729
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TARPENNING & ASSOCIATES
Doing business as
Lake Optical
Practice address
2900 S Main St
Rice Lake, WI 54868
Phone
(715) 234-1511
Fax
(715) 434-1513
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Vicki Sue Heinsohn
Title
Office Manager
Phone
(715) 234-1511

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Eyewear Supplier 332H00000X
Eyewear Supplier 332H00000X WI Primary

Addresses

Primary practice location

2900 S Main St
Rice Lake, WI 54868

Mailing address

2900 S Main St
Rice Lake, WI 54868
Phone (715) 234-1511

Other identifiers 1

IdentifierTypeStateIssuer
38419400MedicaidWI

Other names 1

  • Lake Optical Doing business as

National Provider Directory

National Provider Directory

Locations

2900 S Main St
Rice Lake, WI 54868
Phone (715) 234-1500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184727729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-1511",
            "fax_number": "715-434-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-1511",
            "fax_number": "715-434-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARPENNING & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEINSOHN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-234-1511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38419400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.