Peninsula Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3003 Issued in WI

Legal business name

PENINSULA VISION CARE LLC

Practice address

1426 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240

Phone

(920) 743-5053

Fax

(920) 743-8802

NPI assigned

Jan 7, 2008

Last updated

Nov 25, 2024By 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

Dr. Paul A Filar, O.D.NPI 1912955618

Title

Owner/ Optometrist

Phone

(920) 743-5053

Specialties & licenses 1

Addresses

Other identifiers 1

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 1

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 Andrew Filar, O.D.

  • Optometrist
  • Sturgeon Bay, WI
  • NPI 1912955618
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1548445737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-5053",
            "fax_number": "920-743-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-5053",
            "fax_number": "920-743-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "FILAR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "920-743-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38624800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annika Paulsen, OD
• John Eric Paulsen, O.D.
• Kelsey J Pavlik, DPT
• Peninsula Chiropractic Center Inc.
• Peninsula Podiatry LLC
• Sherry J Pesch
• Mollie Pfeifer Petersen, PAC
• Pine Crest Village LLC
• Michael F Pinelli, CSAC
• Ronald Pluszczynski, M.D.

• Optometrist in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.