Osceola Family Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI2728 Issued in WI

Legal business name

OSCEOLA FAMILY EYECARE LLC

Doing business as

Osceola Family Eyecare

Practice address

304 3Rd Ave
Osceola, WI 54020

Phone

(715) 294-2500

Fax

(715) 294-3466

NPI assigned

Nov 22, 2010

Last updated

Jan 2, 2012By 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

Brian D Smith, ODNPI 1366483612

Title

Owner

Phone

(715) 294-2500

Specialties & licenses 1

Addresses

Other names 1

• Osceola Family Eyecare Doing business as

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

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.

• Brian Darrell Smith, O.D.

  • Optometrist
  • Milltown, WI
  • NPI 1366483612
  Medicare reassignment Care Compare group NPD Authorized official
• April Dawn Svoboda Smith, OD

  • Optometrist
  • Siren, WI
  • NPI 1861464307
  Medicare reassignment Care Compare group NPD
• Micki Maureen Flynn, O.D.

  • Optometrist
  • Hudson, WI
  • NPI 1972552289
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1578865747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200386",
            "telephone_number": "715-294-2500",
            "fax_number": "715-294-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 3RD AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-294-2500",
            "fax_number": "715-294-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-294-2500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann M Olson, PT
• David James Olson, D.C.
• Tara Marie Olson, N.P.
• Osceola Area Ambulance (Osceola Area Ambulance Service)
• Osceola Family Dental, LTD
• Osceola Medical Center
• Osceola Sleep Center LLC
• Tricia Paulson, ND
• Peace Tree Counseling LLC
• Andrea R Petersen, RD

• Optometrist in Osceola, WI
• Providers in Osceola, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.