T.J. Pease & Associates, S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1547035 Issued in WI

Legal business name

T.J. PEASE & ASSOCIATES, S.C.

Practice address

2324 University Ave
Green Bay, WI 54302-4536

Phone

(920) 469-0606

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J. Pease, O.D.

Title

Owner/Doctor

Phone

(920) 469-0606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1336322502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024536",
            "telephone_number": "920-469-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024536",
            "telephone_number": "920-469-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.J. PEASE & ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "920-469-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1547035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38548600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synergy Medical Services LLC
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• Sherri Claire Szczepanski, APNP
• David Bartholomew Sze, MD
• John J Szwyd, LADC 1
• Andrew J Taber, PT
• Jennifer A Taber, OT
• Ryan Michael Tachick, DC
• Aubrie Taerud
• Hassan I. Tahsildar, M.D.

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.