Primary Eye Care, S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRIMARY EYE CARE, S.C.

Practice address

250 N Metro Dr
Appleton, WI 54913-8571

Phone

(920) 830-2020

Fax

(920) 830-1118

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Charles Winter

Title

Practice Administrator

Phone

(920) 830-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386771624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N METRO DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138571",
            "telephone_number": "920-830-2020",
            "fax_number": "920-830-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N METRO DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138571",
            "telephone_number": "920-830-2020",
            "fax_number": "920-830-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "920-830-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Wisconsin Medical SC
• Colleen Prendergast, LMHC
• Ashley Preston, MD
• Prevail Behavioral Health SC
• Primary Care Associates of Appleton, LTD
• Primemed Transportation LLC
• PRN Health Services, Inc.
• PRN Home Health & Therapy, LLC
• Proactive Chiropractic S.C.
• Amanda Margaret Probasco, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.