Beyond 20-20 Vision Therapy LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BEYOND 20-20 VISION THERAPY LLC

Practice address

309 E Broadway Ave
Medford, WI 54451-1835

Phone

(715) 748-2020

Fax

(715) 748-4565

NPI assigned

Jul 11, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Kiselicka

Title

Insurance Coordinator

Phone

(715) 785-8298

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info.medford@healthvieweyecare.com

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1255983185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511835",
            "telephone_number": "715-748-2020",
            "fax_number": "715-748-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511835",
            "telephone_number": "715-748-2020",
            "fax_number": "715-748-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND 20-20 VISION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KISELICKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "715-785-8298"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info.medford@healthvieweyecare.com",
            "affiliation": "Y",
            "affiliationName": "HealthView Eye Care Center-Medford SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDC",
            "address_1": "309 E Broadway Ave",
            "city": "Medford",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544511835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammi Lynn Barnes, LPN
• Robert Bastle, PHARMD
• Nancy Ann Bellendorf, OTR
• Debra K Berends, RN
• Janice K Berry, APNP
• Tiffany Blumenstein, APNP, WHNP-BC
• Body Right Chiropractic SC
• Bone & Joint Clinic S.C. (Bone & Joint Clinic S.C. @ Medford)
• Borealis Wellness Clinic LLC
• Michael F Borgen, FNP

• Optometrist in Medford, WI
• Providers in Medford, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.