Active NPI
Amanda Adeline Wonderly, O.D.
- Optometrist
- Wisconsin Rapids, WI
National Provider Identifier
1588929186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3283
- Practice address
- 700 Hale St
Wisconsin Rapids, WI 54495-2787 - Phone
- (800) 872-8662
- Fax
- (608) 374-8205
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3283 | MN | Primary |
Addresses
Primary practice location
700 Hale St
Wisconsin Rapids, WI 54495-2787
Mailing address
700 Hale St
Wisconsin Rapids, WI 54495-2787
Phone (800) 872-8662
Other names 1
- Ms. Amanda Adeline Laplante
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3283 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1588929186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HALE ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544952787",
"telephone_number": "800-872-8662",
"fax_number": "608-374-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HALE ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544952787",
"telephone_number": "800-872-8662",
"fax_number": "608-374-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONDERLY",
"first_name": "AMANDA",
"middle_name": "ADELINE",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LAPLANTE",
"middle_name": "ADELINE",
"prefix": "MS.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.