Organization Active NPI

Romanak Vision Inc.

  • Optometrist
  • Kenosha, WI
National Provider Identifier
1508053083
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2200 Issued in WI
Legal business name
ROMANAK VISION INC.
Practice address
7323 60TH Ave
Kenosha, WI 53142-3542
Phone
(262) 942-9899
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Joseph P Romanak
Title
Optometrist/President
Phone
(262) 942-9899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2200 WI Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 2200 WI

Addresses

Primary practice location

7323 60TH Ave
Kenosha, WI 53142-3542

Mailing address

7323 60TH Ave
Kenosha, WI 53142-3542

National Provider Directory

National Provider Directory

Locations

7323 60th Ave
Kenosha, WI 53142
Phone (262) 942-9899

5716 75TH St
Kenosha, WI 53142
Phone (262) 942-9899

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1508053083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 60TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 60TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423542",
            "telephone_number": "262-942-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMANAK VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ROMANAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "262-942-9899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2200",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WI",
            "license": "2200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.