Active NPI
Eye Clinic of Wisconsin, S.C.
- Ophthalmology Physician
- Rhinelander, WI
National Provider Identifier
1538142245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CLINIC OF WISCONSIN, S.C.
- Practice address
- 2 E Ocala St
Rhinelander, WI 54501-3907 - Phone
- (715) 362-2600
- Fax
- (715) 362-2081
- NPI assigned
- Nov 28, 2005
- Last updated
- Jan 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas T. Edwards, MD
- Title
- MD Owner
- Phone
- (715) 261-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | WI | Primary |
Addresses
Primary practice location
2 E Ocala St
Rhinelander, WI 54501-3907
Mailing address
800 1St St
PO Box 689
Wausau, WI 54403-4754
Phone (715) 261-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32667800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040806000745 | WI | Part B Supplier - Clinic/Group Practice | 9436121829 |
Receives reassigned benefits from 22 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rhinelander, WI; Wisconsin Rapids, WI; Wausau, WI; Stevens Point, WI; Merrill, WI; Medford, WI; Marshfield, WI; Antigo, WI |
| O20100930066985 | WI | DME Supplier - Physician - Optometrist | 9436121829 | Practice locations: Rhinelander, WI |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Stevens Point, WI
- NPI 1962485615
O20040806000745
-
- Ophthalmology Physician
- Wisconsin Rapids, WI
- NPI 1114315587
O20040806000745
National Provider Directory
National Provider DirectoryLocations
800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Ophthalmology Physician
- Wausau, WI
- NPI 1679556484
-
- Optometrist
- Wausau, WI
- NPI 1568778777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1538142245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 1ST ST",
"address_2": "PO BOX 689",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544034754",
"telephone_number": "715-261-8500",
"fax_number": "715-261-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E OCALA ST",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545013907",
"telephone_number": "715-362-2600",
"fax_number": "715-362-2081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CLINIC OF WISCONSIN, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "715-261-8500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32667800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
- Rebecca L. England, MD
- Brian J Erdmann, MD
- Jennifer Erickson, RN
- Amy J H Ewan, DO
- Excelrehab & Spine Center, Inc.
- Barbara R Faber, APNP
- Families Matter Senior Home Care Services, LLC
- Family Health Center of Marshfield Inc (Family Health Center - Rhinelander Alcohol & Drug Recovery Center)
- Family Health Center of Marshfield Inc (Family Health Center - Rhinelander Dental Center)
- Family Health Services, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.