Active NPI
Herslof's, Inc
Doing business as Herslof Opticians
- Optician
- Racine, WI
National Provider Identifier
1285763748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- HERSLOF'S, INC
- Doing business as
- Herslof Opticians
- Practice address
- 5802 Washington Ave
Racine, WI 53406-4050 - Phone
- (262) 886-0443
- NPI assigned
- Mar 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Dickman
- Title
- VP
- Phone
- (414) 462-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
5802 Washington Ave
Racine, WI 53406-4050
Mailing address
12000 W Carmen Ave
Milwaukee, WI 53225-2116
Phone (414) 462-1300
Other names 1
- HERSLOF OPTICIANS
National Provider Directory
National Provider Directory- Tax ID family
- Herslof Opticians
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285763748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 W CARMEN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532252116",
"telephone_number": "414-462-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 WASHINGTON AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534064050",
"telephone_number": "262-886-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERSLOF'S, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DICKMAN",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "414-462-1300"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HERSLOF OPTICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.