Vision Therapy Academy, LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2949-035 Issued in WI

Legal business name

VISION THERAPY ACADEMY, LLC

Practice address

3424 Mormon Coulee Rd
Suite B
La Crosse, WI 54601-6750

Phone

(608) 788-5380

Fax

(608) 788-4325

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lisa M Heintz

Title

Billing Office Manager

Phone

(608) 788-4300

Specialties & licenses 1

Addresses

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.

• Ann Marie Wonderling, OD

  • Optometrist
  • Lacrosse, WI
  • NPI 1154397024
  Medicare reassignment NPD

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1669625877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MORMON COULEE RD",
            "address_2": "SUITE B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016750",
            "telephone_number": "608-788-5380",
            "fax_number": "608-788-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 MORMON COULEE RD",
            "address_2": "SUITE B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016750",
            "telephone_number": "608-788-5380",
            "fax_number": "608-788-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "HEINTZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "608-788-4300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WI",
            "license": "2949-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Catherine Viner, CNM
• Jessie Jo Viner, RN
• Rodelino R Virata, MD
• Julie A. Vircks, D.O.
• Balaji Vishwanat, MD
• Vision World Inc
• Visionworks, Inc.
• Anthony Vivian
• Trula Renee Vix, BSW
• Ashlee Vlasak

• Vision Therapy Optometrist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Vision Therapy Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.