Center Optical, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MD88588 Issued in WI

Legal business name

CENTER OPTICAL, INC.

Practice address

132 N Central Ave
Richland Center, WI 53581-2225

Phone

(608) 647-7369

Fax

(608) 647-2292

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Ann Hein

Title

Vice President/Cfo

Phone

(608) 647-7369

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Pioneer Optical Doing business as

Locations

Practitioners 4

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

• Jerome J Hein, A.B.O/F.N.A.O

  • Optician
  • Richland Center, WI
  • NPI 1346415544
  NPD (past)
• Tricia L. Olson, O.D.

  • Optometrist
  • Richland Center, WI
  • NPI 1457466609
  NPD (past)
• Jacob L Schoenenberger, OD

  • Optometrist
  • Evansville, WI
  • NPI 1710976311
  NPD (past)
• Thomas J Poswilko, OD

  • Optometrist
  • Rockford, IL
  • NPI 1134271190
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1194736892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N CENTRAL AVE",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812225",
            "telephone_number": "608-647-7369",
            "fax_number": "608-647-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N CENTRAL AVE",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812225",
            "telephone_number": "608-647-7369",
            "fax_number": "608-647-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "608-647-7369",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "MD88588",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": "03945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38718500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS HMO",
            "identifier": "1044060",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIPA",
            "identifier": "098002",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "38718500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Brill, COTA
• Judith M Bruckner, RN
• Jeanette M Burkum, SAC-IT
• Timothy Dennis Burns, CRNA
• Robin M Butrick, MD
• David E Chakoian, M.D.
• Andrea Kristin Cherry, PA-C
• Thomas James Chitwood, DDS
• Jessica Clark-Gomez
• Mary Jo Coleman

• Optometrist in Richland Center, WI
• Providers in Richland Center, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.