Chippewa Valley Eye Clinic LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CHIPPEWA VALLEY EYE CLINIC LTD

Practice address

2715 Damon St
Eau Claire, WI 54701-2634

Phone

(715) 834-8471

Fax

(715) 834-0373

NPI assigned

Aug 16, 2005

Last updated

Jun 18, 2024By 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

Kathy M Sipple

Title

Administrator

Phone

(715) 552-9337

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 11

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.

• Andrew Dahl, OD

  • Optometrist
  • Eau Claire, WI
  • NPI 1649906538
  Medicare reassignment Care Compare group NPD
• Lee Allan Hofer, MD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1811989643
  Medicare reassignment Care Compare group NPD
• Heidi Leanne Jarecki, MD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1548262520
  Medicare reassignment Care Compare group NPD
• Kristen Lambert, O.D.

  • Optometrist
  • Eau Claire, WI
  • NPI 1306121454
  Medicare reassignment Care Compare group NPD
• Ronald Herbert Lange, MD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1841291051
  Medicare reassignment Care Compare group NPD
• Rachael Ray Lyon Lyerla, MD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1801457833
  Medicare reassignment Care Compare group NPD
• Abigail Richie Moore, O.D.

  • Optometrist
  • Eau Claire, WI
  • NPI 1316397615
  Medicare reassignment Care Compare group NPD
• Laura Nicole Paulson, OD

  • Optometrist
  • Eau Claire, WI
  • NPI 1477275436
  Medicare reassignment Care Compare group NPD
• Alexander Lyle Ringeisen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Woodbury, MN
  • NPI 1710323142

  WI

  Medicare reassignment Care Compare group NPD
• Roger Sloan Gray Jr., MD

  • Ophthalmology Physician
  • Rice Lake, WI
  • NPI 1154323608
  NPD
• Erik Grover

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1336883651
  NPD

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1306838487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 DAMON ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013899",
            "telephone_number": "715-834-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 DAMON ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012634",
            "telephone_number": "715-834-8471",
            "fax_number": "715-834-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY EYE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-552-9337"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32671200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38721500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chippewa Valley Counseling Center
• Chippewa Valley Dental Health, LTD.
• Chippewa Valley Dental, LLC
• Chippewa Valley Emergency Care
• Chippewa Valley Endodontics LLC
• Chippewa Valley Foot and Ankle Clinic SC
• Chippewa Valley Home Care
• Chippewa Valley Medical Supply LLC
• Chippewa Valley Neuromonitoring, LLC
• Chippewa Valley Neurosciences LLC

• Ophthalmology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.