Active NPI
Eye Care Center of New Holstein, LLC
- Optometrist
- New Holstein, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYE CARE CENTER OF NEW HOLSTEIN, LLC
- Practice address
- 1405 Milwaukee Dr
New Holstein, WI 53061-1430 - Phone
- (920) 898-5531
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cheryl M Roers, O.D.
- Title
- Owner
- Phone
- (920) 898-5531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1405 Milwaukee Dr
New Holstein, WI 53061-1430
Mailing address
1405 Milwaukee Dr
New Holstein, WI 53061-1430
Phone (920) 898-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38723300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17 E Main St
Chilton, WI 53014
Phone (920) 849-4642
1106 Washington St
Grafton, WI 53024
Phone (262) 375-0220
500 Fremont St
Kiel, WI 53042
Phone (920) 894-2727
1836 Wisconsin Ave
New Holstein, WI 53061
Phone (920) 898-4444
1405 Milwaukee Dr
New Holstein, WI 53061
Phone (920) 898-5531
833 Pennsylvania Ave
Ste 102
Sheboygan, WI 53081
833 Pennsylvania Ave
Sheboygan, WI 53081
2819 Superior Ave
Sheboygan, WI 53081
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brookfield, WI
- NPI 1316255805
-
- Optometrist
- Appleton, WI
- NPI 1245849660
-
- Optometrist
- Appleton, WI
- NPI 1548558869
-
- Optometrist
- New Holstein, WI
- NPI 1780662577
-
- Optometrist
- New Holstein, WI
- NPI 1851281943
-
- Optometrist
- New Holstein, WI
- NPI 1841032224
-
- Optometrist
- Fond Du Lac, WI
- NPI 1376105700
-
- Optometrist
- Kiel, WI
- NPI 1588686935
-
- Corneal and Contact Management Optometrist
- Fond Du Lac, WI
- NPI 1588745756
-
- Optometrist
- Hartford, WI
- NPI 1750375655
-
- Optometrist
- Plymouth, WI
- NPI 1982671988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1346385291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 MILWAUKEE DR",
"city": "NEW HOLSTEIN",
"state": "WI",
"postal_code": "530611430",
"telephone_number": "920-898-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MILWAUKEE DR",
"city": "NEW HOLSTEIN",
"state": "WI",
"postal_code": "530611430",
"telephone_number": "920-898-5531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE CENTER OF NEW HOLSTEIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "ROERS",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-898-5531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38723300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Holstein, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.