I C 20 20 Eau Claire Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

2275035 Issued in WI

Legal business name

I C 20 20 EAU CLAIRE INC

Doing business as

Sterling Optical

Practice address

4054 Commonwealth Ave
Eau Claire, WI 54701-9000

Phone

(715) 833-1220

Fax

(715) 833-1297

NPI assigned

Dec 30, 2006

Last updated

Jan 16, 2014By 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

John DelakisNPI 1790949055

Title

Owner Manager

Phone

(715) 833-1220

Specialties & licenses 1

Addresses

Other names 1

• Sterling Optical Doing business as

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 16

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.

• Paul J Delakis, OD

  • Optometrist
  • Eau Claire, WI
  • NPI 1477435576
  Medicare reassignment Care Compare group NPD
• Paul S Delakis, O.D.

  • Optometrist
  • Eau Claire, WI
  • NPI 1073726576
  Medicare reassignment Care Compare group NPD
• John N Delakis, OPTICIAN

  • Optician
  • Eau Claire, WI
  • NPI 1790949055
  NPD (past) Authorized official
• Kameron Jodi Gorres

  • Optician
  • Eau Claire, WI
  • NPI 1659093334
  NPD
• Nicolle Richardson

  • Optician
  • Eau Claire, WI
  • NPI 1326760018
  NPD
• Sara Bailey

  • Optician
  • Eau Claire, WI
  • NPI 1619226529
  NPD (past)
• Jessica Jean Hegg, OPTICAN

  • Optician
  • Eau Claire, WI
  • NPI 1891958609
  NPD (past)
• Kiley Rene Jensen

  • Optician
  • Eau Claire, WI
  • NPI 1538449095
  NPD (past)
• Renee Mikel O'Donnell, OPTICIAN

  • Optician
  • Eau Claire, WI
  • NPI 1891958690
  NPD (past)
• Melissa Perkovich

  • Optician
  • Eau Claire, WI
  • NPI 1790107324
  NPD (past)
• Elizabeth Spooner

  • Optician
  • Eau Claire, WI
  • NPI 1245635473
  NPD (past)
• Darrel Louis Crissler, O.D.

  • Optometrist
  • Fargo, ND
  • NPI 1831110626
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1487710539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 COMMONWEALTH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019000",
            "telephone_number": "715-833-1220",
            "fax_number": "715-833-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 COMMONWEALTH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019000",
            "telephone_number": "715-833-1220",
            "fax_number": "715-833-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I C 20 20 EAU CLAIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "DELAKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "715-833-1220"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "2275035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hammad Hussain, M.D.
• Kayle Hutchins, LMFT
• William J Hutchinson, D.D.S.
• Theresa L. Hutzler, APRN, AGACNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1166))
• Marwan Ibrahem, DDS
• Wilson Igbrude, M.D.
• Ihc-Sacred Heart Emergency Physicians, LLC
• Ihc-Wound Care Services LLC
• Ihc-Wound Care Services LLC

• Eyewear Supplier in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.