Midline Vision Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDLINE VISION GROUP LLC

Practice address

714 3Rd Ave
Antigo, WI 54409-2044

Phone

(715) 623-2180

Fax

(715) 623-7244

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By 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

Michelle Huber

Title

Manager Cbo

Phone

(715) 298-3486

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Midline Vision Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Midline Vision Group LLC

  • Optometrist
  • Mosinee, WI
  • NPI 1699051052
  NPD tax ID
• Midline Vision Group, LLC

  • Optometrist
  • Brookfield, WI
  • NPI 1275248429
  NPD tax ID
• Midline Vision Group, LLC

  • Optometrist
  • Fitchburg, WI
  • NPI 1285343301
  NPD tax ID

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1689382079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 3RD ST STE 402",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035455",
            "telephone_number": "715-298-3486",
            "fax_number": "715-298-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 3RD AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092044",
            "telephone_number": "715-623-2180",
            "fax_number": "715-623-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLINE VISION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER CBO",
        "authorized_official_telephone_number": "715-298-3486"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pvantigo@midlinevision.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "714 3rd Ave",
            "city": "Antigo",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544092044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis S McFadden, DO
• Thomas E McGrath, LPC
• Julie A Meehan, P.T.A.
• James P. Meinert, P.T.
• MGM-Eastview
• Cami Lee Miller, PTA
• Melissa Ann Miller, PTA
• Rachael Elizabeth Miller
• Michael S Moore, MD
• Earl James Mulqueen

• Optometrist in Antigo, WI
• Providers in Antigo, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.