Organization Active NPI

Foster Primary Eye Care

  • Optometrist
  • Neillsville, WI
National Provider Identifier
1619031648
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1728-035 Issued in WI
Legal business name
FOSTER PRIMARY EYE CARE
Practice address
446 Court St
Neillsville, WI 54456-1955
Phone
(715) 743-3126
Fax
(715) 743-5050
NPI assigned
Dec 21, 2006
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Gregory Alan Foster, O.D.NPI 1043294697
Title
Owner
Phone
(715) 743-3126

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1728-035 WI Primary

Addresses

Primary practice location

446 Court St
Neillsville, WI 54456-1955

Mailing address

446 Court St
P.O. Box 31
Neillsville, WI 54456-1955
Phone (715) 743-3126

National Provider Directory

National Provider Directory
Tax ID family
Foster Primary Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1619031648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 COURT ST",
            "address_2": "P.O. BOX 31",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561955",
            "telephone_number": "715-743-3126",
            "fax_number": "715-743-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 COURT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561955",
            "telephone_number": "715-743-3126",
            "fax_number": "715-743-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER PRIMARY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-743-3126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1728-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.