Alternative Vision Services

Primary specialty

OptometristTaxonomy code 152W00000X

License

2358-035 Issued in WI

Legal business name

ALTERNATIVE VISION SERVICES

Practice address

1612 Commonwealth Dr
#4
Fort Atkinson, WI 53538-3147

Phone

(920) 397-7094

NPI assigned

Sep 25, 2008

Last updated

Sep 25, 2008By 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

Dr. Mark F Cook, O.D.NPI 1407817752

Title

Proprieter

Phone

(920) 390-9038

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark F. Cook, O.D.

  • Optometrist
  • Johnson Creek, WI
  • NPI 1407817752
  Authorized official Same address or phone

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1306096417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 COMMONWEALTH DR",
            "address_2": "#4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383147",
            "telephone_number": "920-397-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 COMMONWEALTH DR",
            "address_2": "#4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383147",
            "telephone_number": "920-397-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE VISION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROPRIETER",
        "authorized_official_telephone_number": "920-390-9038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2358-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38724000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie A. Alex, RN
• Carmen M Alfonso-Kneiert, OD
• Mary Elizabeth Allie, LPN
• Emma Allison, SLP
• Ailleen R. Alquinto Anonuevo, M.D.
• Michael R Anderson, M.D.
• Harold F Anschuetz, MD
• Randall Lee Arndorfer, RPH
• Lisa Anne Ashwill, RDN, CD
• Cheyenne M Atkinson

• Optometrist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.