Kivlin Eye Clinic SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1539035 Issued in WI

Legal business name

KIVLIN EYE CLINIC SC

Practice address

2303 Schneider Ave SE
Menomonie, WI 54751-7005

Phone

(715) 235-3838

Fax

(715) 235-3846

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

James Kivlin, OD

Title

Owner Optometrist

Phone

(715) 235-3838

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Tori J. Flood, O.D.

  • Optometrist
  • Menomonie, WI
  • NPI 1437256328
  NPD (past)
• Natalee Z Frie, O.D.

  • Optometrist
  • Altoona, WI
  • NPI 1538227798
  NPD (past)
• Michael D Ackermann, OD

  • Optometrist
  • Lake City, MN
  • NPI 1063441830
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1336216472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-235-3838",
            "fax_number": "715-235-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-235-3838",
            "fax_number": "715-235-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVLIN EYE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KIVLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "715-235-3838",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1539035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0523040001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38564800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Kewin, SAC
• Rose M Keys, FNP
• Kilimanjaro LLC
• Seok Yeong Kim, PHARM.D
• Joseph Mariner Kindred, LMFT
• James B Kivlin, OD, TPA
• Jessica Kleist
• John Klem, PH.D., LPC
• Tonya Klem, ED.S
• Brooke Michele Kluck

• Optometrist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.