Revision Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REVISION EYE CARE, LLC

Practice address

3341 8TH St S
Wisconsin Rapids, WI 54494-6566

Phone

(715) 423-5353

Fax

(715) 423-6525

NPI assigned

Dec 5, 2017

Last updated

Dec 20, 2022By 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. Peter Richard Falk, ODNPI 1619315421

Title

Optometrist/Owner

Phone

(715) 423-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael J. Downs (Downs Eye Care) Former legal business name

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

Locations

Practitioners 6

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.

• Peter Richard Falk, O.D.

  • Optometrist
  • Wisconsin Rapids, WI
  • NPI 1619315421
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas E. Austin, OD

  • Optometrist
  • Wisconsin Rapids, WI
  • NPI 1356084222
  Medicare reassignment Care Compare group NPD
• Anna Nicole Kneiert, OD

  • Optometrist
  • Wisconsin Rapids, WI
  • NPI 1598445850
  Medicare reassignment Care Compare group NPD
• Michael J Downs, OD

  • Optometrist
  • Wisconsin Rapids, WI
  • NPI 1508901067
  Medicare reassignment NPD
• Zachariah Dillon Flint, DMD

  • General Practice Dentistry
  • Wisconsin Rapids, WI
  • NPI 1801574314
  NPD (past)
• Robert E McGrath, DDS

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1497843429
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1427563063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946566",
            "telephone_number": "715-423-5353",
            "fax_number": "715-423-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946566",
            "telephone_number": "715-423-5353",
            "fax_number": "715-423-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "715-423-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078371",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael J. Downs (Downs Eye Care)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin Reiff
• Lindsay Beth Reimer, P.A.-C.
• Reliaride Transport Services LLC
• Tracy Renderman, SAC, IDP
• Rennes Assisted Living Corp. (Renaissance - Wisconsin Rapids)
• Kari Ann Rhinehart
• Richard Wessling
• Kris David Richardson, RN
• Maria Therese Richmond, RN
• Hailee Jane Richter, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.