NPIMap

Organization Active NPI

Midline Vision Group, LLC

  • Optometrist
  • Fitchburg, WI
National Provider Identifier
1285343301
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MIDLINE VISION GROUP, LLC
Practice address
6231 McKee Rd Ste C
Fitchburg, WI 53719-5177
Phone
(608) 273-2020
Fax
(608) 234-4330
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Michelle Huber
Title
Manager Cbo
Phone
(715) 298-3486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6231 McKee Rd Ste C
Fitchburg, WI 53719-5177

Mailing address

408 N 3Rd St Ste 402
Wausau, WI 54403-5455
Phone (715) 298-3486

National Provider Directory

National Provider Directory
Tax ID family
Midline Vision Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6231 McKee Rd
Ste C
Fitchburg, WI 53719
Phone (608) 273-2020

Practitioners & affiliated clinicians

Practitioners 5

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": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1285343301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 3RD ST STE 402",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035455",
            "telephone_number": "715-298-3486",
            "fax_number": "152-983-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 MCKEE RD STE C",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195177",
            "telephone_number": "608-273-2020",
            "fax_number": "608-234-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLINE VISION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER CBO",
        "authorized_official_telephone_number": "715-298-3486"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.