Active NPI
Tower Clock Eye Center SC
- Eyewear Supplier
- Shawano, WI
National Provider Identifier
1578022588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- TOWER CLOCK EYE CENTER SC
- Practice address
- 229 E Green Bay St
Shawano, WI 54166-2482 - Phone
- (920) 499-3102
- Fax
- (920) 499-9636
- NPI assigned
- Mar 19, 2019
- 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
- Danielle Jorgensen
- Title
- Practice Administrator
- Phone
- (920) 593-5724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
229 E Green Bay St
Shawano, WI 54166-2482
Mailing address
1087 W Mason St
Green Bay, WI 54303-1859
Phone (920) 499-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190315002484 | WI | DME Supplier - Physician - Ophthalmology | 6305890781 | Practice locations: Shawano, WI |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Karl L Schwiesow MD SC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Appleton, WI
- NPI 1376272047
-
- Ophthalmology Physician
- Green Bay, WI
- NPI 1801998729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1578022588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543031859",
"telephone_number": "920-499-3102",
"fax_number": "920-499-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 E GREEN BAY ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662482",
"telephone_number": "920-499-3102",
"fax_number": "920-499-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER CLOCK EYE CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "JORGENSEN",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "920-593-5724"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.