Northern Sight Vision Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2911 Issued in WI

Legal business name

NORTHERN SIGHT VISION CLINIC, LLC

Practice address

104A N. Argyle Ave,
Phillips, WI 54555

Phone

(715) 339-2040

Fax

(715) 339-3885

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jessica J Stromberg, O.D.NPI 1932151677

Title

Optometrist / Co-Owner

Phone

(715) 339-2040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maley and Stromberg Eye Care, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northern Sight Vision Clinic, LLC

  • Optometrist
  • Tomahawk, WI
  • NPI 1972723716

  O20070621000277

  Same enrollment

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 5

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

• Jessica J Stromberg, OD

  • Optometrist
  • Phillips, WI
  • NPI 1932151677
  Medicare reassignment Care Compare group NPD Authorized official
• Brittany S Lemke, O.D.

  • Optometrist
  • Tomahawk, WI
  • NPI 1851739635
  Medicare reassignment Care Compare group NPD
• Lauren Erica Treml, OD

  • Optometrist
  • Minocqua, WI
  • NPI 1508351099
  Medicare reassignment Care Compare group NPD
• Lawrence E Addison, O.D.

  • Optometrist
  • Weston, WI
  • NPI 1760794697
  NPD (past)
• Sandra Joy Maley, OD

  • Optometrist
  • Phillips, WI
  • NPI 1154353415
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1295947109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104A N. ARGYLE AVE,",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "54555",
            "telephone_number": "715-339-2040",
            "fax_number": "715-339-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104A N. ARGYLE AVE,",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "54555",
            "telephone_number": "715-339-2040",
            "fax_number": "715-339-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN SIGHT VISION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST / CO-OWNER",
        "authorized_official_telephone_number": "715-339-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38618200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38564600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maley and Stromberg Eye Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adam J McRoberts, D.C.
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• Naomi E Minks
• Michael Robert Murphy Jr., DDS
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• Northland Hearing Centers, Inc.
• Northwoods Dentistry, S.C.
• Northwoods Wellness Center LLC
• Pamela Marie Olson, LCSW
• Precour Chiropractic Inc.

• All providers in Phillips, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.