Northview Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2084 Issued in WI

Legal business name

NORTHVIEW EYE ASSOCIATES LLC

Practice address

1801 W Knapp St Ste 3
Rice Lake, WI 54868

Phone

(715) 234-3113

Fax

(715) 234-2339

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Edward Jacobson, OD

Title

Dr/Owner

Phone

(715) 234-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These 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

Locations

Practitioners 8

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

• Joshua Eernisse, OD

  • Optometrist
  • Spooner, WI
  • NPI 1073361085
  Medicare reassignment Care Compare group NPD
• Tracy Lynn Kocemba, OD

  • Optometrist
  • Hayward, WI
  • NPI 1467434647
  Medicare reassignment Care Compare group NPD
• Thomas S Kollodge

  • Optometrist
  • Rice Lake, WI
  • NPI 1689055931
  Medicare reassignment Care Compare group NPD
• Michael Seebruck, OD

  • Optometrist
  • Rice Lake, WI
  • NPI 1497283493
  Medicare reassignment Care Compare group NPD
• Gabrielle Carmen Chan Smiley, OD

  • Optometrist
  • Rice Lake, WI
  • NPI 1326576323
  Medicare reassignment Care Compare group NPD
• Austin Schipper, OD

  • Optometrist
  • Big Rapids, MI
  • NPI 1356862577

  Optometrist, WI

  Medicare reassignment Care Compare group NPD
• Nathan Karl Eichhorst, OD

  • Optometrist
  • Spooner, WI
  • NPI 1104894153
  NPD (past)
• Thomas Michael Harvey, MD

  • Ophthalmology Physician
  • Chippewa Falls, WI
  • NPI 1457353435
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1215465083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST STE 3",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681381",
            "telephone_number": "715-234-3113",
            "fax_number": "715-234-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST STE 3",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-3113",
            "fax_number": "715-234-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15936 US Highway 63",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548437162",
            "country_code": "US",
            "telephone_number": "715-634-1028",
            "fax_number": "715-634-9733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Spooner",
            "state": "WI",
            "postal_code": "548011319",
            "country_code": "US",
            "telephone_number": "715-635-2020",
            "fax_number": "715-635-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHVIEW EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "715-234-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Richmond Family Care, LLC
• Timothy P Nickell, PAC
• Riley Niebuhr, FNP
• Timothy M Nispel
• Erin Ann Nolin, FNP
• Northwest Wisconsin Anesthesiologists, SC
• Northwoods Dentistry, Rice Lake LLC
• Norwi Pharmacy Inc
• NW Wisconsin Emergency Physicians LLC
• Mark T Nymo, MD

• All providers in Rice Lake, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.

Verify at the official NPI Registry.