Erickson Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3129-035 Issued in WI

Legal business name

ERICKSON EYE CARE, P.C.

Practice address

2656 W 12TH Ave
Fort McCoy, WI 54656-5240

Phone

(608) 388-5997

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kendra Erickson Garbrecht, O.D.

Title

Optometrist

Phone

(608) 799-4138

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1215110424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4637 TIMBERCREST DR E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508623",
            "telephone_number": "608-799-4138",
            "fax_number": "608-781-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 W 12TH AVE",
            "city": "FORT MCCOY",
            "state": "WI",
            "postal_code": "546565240",
            "telephone_number": "608-388-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "GARBRECHT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "ERICKSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "608-799-4138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3129-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508962879",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "I17029",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "I17050",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Barglof, NP
• Comphealth
• Ireland Army Community Hospital
• Ireland Army Community Hospital
• Ireland Army Community Hospital
• Ireland Army Community Hospital
• Sarah Sauers, PA

• All providers in Fort McCoy, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.