SK Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SK EYECARE LLC

Doing business as

Northwoods Family Eyecare

Practice address

113 N Bridge St
Chippewa Falls, WI 54729-2404

Phone

(608) 658-4245

NPI assigned

Jun 15, 2019

Organization subpart

No

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

Authorized official

Name

Carolyn M Kolb, ODNPI 1427579218

Title

Optometrist/Owner

Phone

(608) 658-4245

Specialties & licenses 1

Addresses

Other names 1

• Northwoods Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Carolyn Kolb, OD

  • Optometrist
  • Chippewa Falls, WI
  • NPI 1427579218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1699335364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-723-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "608-658-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "608-658-4245",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwoods Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mechele Lee Shipman, EDD, MSW, LCISW LCSW
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• Shoptikal LLC (Shopko Optical 4037)
• Rae Marie Simmerman, APSW
• Mark Alan Slabbekoorn, DDS, MD
• Elizabeth L Slack
• Jodi Lynn Budd Slinde, M.S., CCC-SLP
• Smiles in Motion, S.C. (Smiles in Motion)
• Patricia Mae Smoczyk, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.