Racine Optical Co., Family Vision Care, Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

2220 Issued in WI

Legal business name

RACINE OPTICAL CO., FAMILY VISION CARE, INC

Practice address

217 6TH St
Racine, WI 53403-1213

Phone

(262) 634-4430

Fax

(262) 634-1890

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dean Rosenberg, OD

Title

Ceo

Phone

(262) 634-4430

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1659492254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031213",
            "telephone_number": "262-634-4430",
            "fax_number": "262-634-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031213",
            "telephone_number": "262-634-4430",
            "fax_number": "262-634-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE OPTICAL CO., FAMILY VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-634-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38574400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "000047405",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DG4459",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racine County Opportunity Center, Inc.
• Racine Dental Center LLC
• Racine Dental Group S C
• Racine Emergency Physicians, S.C.
• Racine Family Care Chiropractic, LLC
• Racine Psychological Services, Inc.
• Racine Tooth Town Dentistry for Kids
• Racine Unified School District
• Chloe Marie Ragland, NP
• Laura Ramos, LPC

• Public Health or Welfare Agency in Racine, WI
• Providers in Racine, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.