Koskinen Eye Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2184 Issued in WI

Legal business name

KOSKINEN EYE CLINIC, LLC

Practice address

3278 W Main St
Suite B
East Troy, WI 53120

Phone

(262) 642-9719

Fax

(262) 642-2228

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Carlena J Peterson

Title

Office Manager

Phone

(262) 642-9719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

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

• Sandra Marie Huenink, OD

  • Optometrist
  • East Troy, WI
  • NPI 1902258742
  Medicare reassignment Care Compare group NPD
• Gerald W Koskinen, OD.

  • Optometrist
  • East Troy, WI
  • NPI 1780733477
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1609091313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531200165",
            "telephone_number": "262-642-9719",
            "fax_number": "262-642-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 W MAIN ST",
            "address_2": "SUITE B",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "53120",
            "telephone_number": "262-642-9719",
            "fax_number": "262-642-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSKINEN EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CARLENA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-642-9719"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Newkirk Counseling, LLC
• Kathleen Florence Kendall, LPN
• Kiwanis Manor Inc
• Danielle Marie Knight, OD
• Margaret M Knight, MD
• Gerald W Koskinen, OD.
• Sara L Krause, OTR
• Brandon Lagreca, CAC
• Truman George Long, CADC III
• James Stanley Marczewski

• Optometrist in East Troy, WI
• Providers in East Troy, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.