Durand Optometry Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2689 Issued in WI

Legal business name

DURAND OPTOMETRY CLINIC LLC

Practice address

100 E Main St
Durand, WI 54736

Phone

(715) 672-8981

Fax

(715) 672-8983

NPI assigned

Nov 2, 2006

Last updated

Jun 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tony Raymond Morris, O.D.NPI 1588639371

Title

Owner

Phone

(715) 672-8981

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Durand Optometry Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Durand Optometry Clinic LLC Dba Mondovi Eye and Optical

  • Optometrist
  • Mondovi, WI
  • NPI 1215066212
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony R Morris, OD

  • Optometrist
  • Durand, WI
  • NPI 1588639371
  Medicare reassignment Authorized official
• Heidi Leanne Jarecki, MD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1548262520
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1427137348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. MAIN ST.",
            "address_2": "P.O. BOX 147",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547360147",
            "telephone_number": "715-672-8981",
            "fax_number": "715-672-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "54736",
            "telephone_number": "715-672-8981",
            "fax_number": "715-672-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAND OPTOMETRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-672-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "115291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "2210848",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "23193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38429700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTRA",
            "identifier": "45862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5681910001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "59158DU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "A65371016545",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-EXAM",
            "identifier": "220856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-MATERIALS",
            "identifier": "2100386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chippewa Valley Hospital & Oakview Care Center, Inc. (AdventHealth Durand)
• City of Durand (Municipal Ambulance Service)
• Brady Didion
• Robert L Dohlman, MD
• Lanita Dorwin
• Joseph L. Elsner, DO
• Essential Energy L.L.C.
• Nicole Kristine Gilles, FNP
• Katie Jo Hartung, MS, RD
• Heike Pharmacy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.