Individual provider Active NPI

Lon C Arneson, OD

  • Optometrist
  • Chippewa Falls, WI
National Provider Identifier
1508846437
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1522 Issued in WI
Practice address
113 N Bridge St
Chippewa Falls, WI 54729-2404
Phone
(715) 723-9187
Fax
(715) 723-1755
NPI assigned
Jan 18, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1522 WI Primary

Addresses

Primary practice location

113 N Bridge St
Chippewa Falls, WI 54729-2404

Mailing address

113 N Bridge St
Chippewa Falls, WI 54729-2404
Phone (715) 723-9187

Other identifiers 1

IdentifierTypeStateIssuer
38515500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1522WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1508846437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-723-9187",
            "fax_number": "715-723-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-723-9187",
            "fax_number": "715-723-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNESON",
        "first_name": "LON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38515500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.