New Vista Eyecare Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

1359 Issued in WI

Legal business name

NEW VISTA EYECARE CORP

Practice address

331 E Prairie View Rd
Chippewa Falls, WI 54729-3463

Phone

(715) 726-9077

Fax

(715) 726-9173

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William R Sprague, OD

Title

Pres

Phone

(715) 726-9077

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1295702918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293463",
            "telephone_number": "715-726-9077",
            "fax_number": "715-726-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293463",
            "telephone_number": "715-726-9077",
            "fax_number": "715-726-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISTA EYECARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "715-726-9077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1288",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38445000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.