Badger Optical of Sheboygan Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BADGER OPTICAL OF SHEBOYGAN INC

Practice address

4091 State Road 28
Sheboygan Falls, WI 53085-2848

Phone

(920) 452-2020

Fax

(920) 452-6424

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leo Kaminski

Title

Opticain, President

Phone

(920) 452-2020

Specialties & licenses 1

Addresses

Other names 1

• badger optical Doing business as

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386787703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 STATE ROAD 28",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530852848",
            "telephone_number": "920-452-2020",
            "fax_number": "920-452-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 STATE ROAD 28",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530852848",
            "telephone_number": "920-452-2020",
            "fax_number": "920-452-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER OPTICAL OF SHEBOYGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OPTICAIN, PRESIDENT",
        "authorized_official_telephone_number": "920-452-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "badger optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Aguirre, RN
• Aurora Medical Group, Inc.
• Nicole Badour
• Anna C Birkholz, LPN
• Cari Ann Bollweg, D.O.
• Jacquelyn Brugger, PHARMD, RPH
• Danielle Cantu

• Optician in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Optician 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.