NPIMap

Organization Active NPI

Verona Vision Care, LLC

  • Optometrist
  • Verona, WI
National Provider Identifier
1598825549
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2985 Issued in WI
Legal business name
VERONA VISION CARE, LLC
Practice address
320 S Main St
Verona, WI 53593-1424
Phone
(608) 848-5168
Fax
(608) 848-6012
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tami S Hunt, ODNPI 1366416661
Title
Owner
Phone
(608) 848-5168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2985 WI Primary

Addresses

Primary practice location

320 S Main St
Verona, WI 53593-1424

Mailing address

301 S Main St
Verona, WI 53593-1494
Phone (608) 848-5168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070129000449 WI Part B Supplier - Clinic/Group Practice 2163423484 Receives reassigned benefits from 4 practitioners
Practice locations: Verona, WI

National Provider Directory

National Provider Directory

Locations

301 S Main St
Verona, WI 53593
Phone (608) 848-5168

320 S Main St
Verona, WI 53593
Phone (608) 848-5168

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1598825549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931494",
            "telephone_number": "608-848-5168",
            "fax_number": "608-848-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931424",
            "telephone_number": "608-848-5168",
            "fax_number": "608-848-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-848-5168",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.

Verify at the official NPI Registry.