Good Hope Vision Center, SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2702-35 Issued in WI

Legal business name

GOOD HOPE VISION CENTER, SC

Doing business as

Good Hope Vision Center

Practice address

N72W13400 Lund LN Ste E
Menomonee Falls, WI 53051-4678

Phone

(262) 208-1344

Fax

(262) 509-0804

NPI assigned

Sep 1, 2018

Organization subpart

No

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

Authorized official

Name

Dana A Webb, ODNPI 1487662177

Title

President

Phone

(262) 208-1344

Specialties & licenses 1

Addresses

Other names 1

• Good Hope Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Dana A. Webb, O.D.

  • Optometrist
  • Menomonee Falls, WI
  • NPI 1487662177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1659853075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N72W13400 LUND LN STE E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514678",
            "telephone_number": "262-208-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N72W13400 LUND LN STE E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514678",
            "telephone_number": "262-208-1344",
            "fax_number": "262-509-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOPE VISION CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-208-1344",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2702-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Hope Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen M. Goetz, AU.D., CCC/A
• Kyle Goham
• Melissa Gohlke, NP
• Emily Sue Gonzales
• Lilian Gonzalez, M.D.
• Amy L Gorgen, RPH
• Michael H Gorman, RPH
• Raghu Chandra Gowda Hanumaiah, M.D
• Peter W. Goy, M.D.
• Kerri Lee Grams Vance, OD

• Optometrist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.