NPIMap

Organization Active NPI

Eggert & Eggert LLC

  • Optometrist
  • Manitowoc, WI
National Provider Identifier
1396037628
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2292 Issued in WI
Legal business name
EGGERT & EGGERT LLC
Doing business as
The Eyecare Place
Practice address
700 E Magnolia Ave
Manitowoc, WI 54220-2256
Phone
(920) 686-1000
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Steven D Eggert, OD
Title
Owner/Doctor
Phone
(920) 686-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2292 WI Primary

Addresses

Primary practice location

700 E Magnolia Ave
Manitowoc, WI 54220-2256

Mailing address

700 E Magnolia Ave
Manitowoc, WI 54220-2256
Phone (920) 686-1000

Other identifiers 1

IdentifierTypeStateIssuer
000047354OtherWIMEDICARE

Other names 1

  • The Eyecare Place Doing business as

National Provider Directory

National Provider Directory

Locations

700 E Magnolia Ave
Manitowoc, WI 54220
Phone (920) 682-1718

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1396037628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MAGNOLIA AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202256",
            "telephone_number": "920-686-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAGNOLIA AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202256",
            "telephone_number": "920-686-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGERT & EGGERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "920-686-1000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000047354",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eyecare Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.