Best Optical LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29183020 Issued in WI

Legal business name

BEST OPTICAL LLC

Doing business as

Memmen Optics

Practice address

1543 Park PL
Suite 400
Green Bay, WI 54304-1970

Phone

(920) 497-0100

Fax

(920) 497-0101

NPI assigned

Feb 2, 2010

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenda L Leick

Title

Office Manager

Phone

(920) 380-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memmen Optics Doing business as

Locations

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.

• James Edward Memmen, MD

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1356367023
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1679805642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 PARK PL",
            "address_2": "SUITE 400",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041970",
            "telephone_number": "920-497-0100",
            "fax_number": "920-497-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 PARK PL",
            "address_2": "SUITE 400",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041970",
            "telephone_number": "920-497-0100",
            "fax_number": "920-497-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "LEICK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-380-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "29183020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31395200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memmen Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ursula Bertrand, PH.D.
• Adam J Bertuli, CRNA
• Crystal D Besaw, MSE
• Karen Besiada Hansen, OTR
• Besiada Health Innovators, LLC
• Samantha Bestul, OD
• Thomas C Betka, M.D.
• Ryan Mathew Betley, APSW
• David Haynes Betts III, PHARM.D.
• Terry Sue Betts, PTA

• Specialist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.