Active NPI
Ascension St Michael'S Hospital, Inc
- Optician
- Stevens Point, WI
National Provider Identifier
1487212486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- ASCENSION ST MICHAEL'S HOSPITAL, INC
- Practice address
- 824 Illinois Ave
Stevens Point, WI 54481-3112 - Phone
- (715) 342-7950
- NPI assigned
- Jun 4, 2019
- Organization subpart
- Yes
- Parent organization
- ASCENSION ST MICHAEL'S HOSPITAL, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Peck
- Title
- VP Revenue Cycle
- Phone
- (715) 847-2988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
824 Illinois Ave
Stevens Point, WI 54481-3112
Mailing address
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 342-7950
Other names 1
- ASCENSION ST MICHAEL'S AT ILLINOIS AVE
National Provider Directory
National Provider Directory- Tax ID family
- St Michaels Hospital Io
- Part of
- St Michaels Hospital Io
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-
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-
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-
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1487212486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813112",
"telephone_number": "715-342-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813112",
"telephone_number": "715-342-7950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION ST MICHAEL'S HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASCENSION ST MICHAEL'S HOSPITAL, INC",
"enumeration_date": "2019-06-04",
"last_updated": "2021-10-19",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "VP REVENUE CYCLE",
"authorized_official_telephone_number": "715-847-2988"
},
"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": "ASCENSION ST MICHAEL'S AT ILLINOIS AVE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "ASCENSION ST MICHAEL'S AT ILLINOIS AVE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.