NPIMap

Organization Active NPI

Healthview Eye Care Center - Chippewa, SC

  • Optometrist
  • Chippewa Falls, WI
National Provider Identifier
1699871186
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HEALTHVIEW EYE CARE CENTER - CHIPPEWA, SC
Practice address
475 Chippewa Mall Dr
Suite 145
Chippewa Falls, WI 54729-5034
Phone
(715) 726-2020
Fax
(715) 726-0200
NPI assigned
Sep 15, 2006
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Jeffery R Bourgerie, O.D.NPI 1164409348
Title
President
Phone
(715) 726-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WI Primary

Addresses

Primary practice location

475 Chippewa Mall Dr
Suite 145
Chippewa Falls, WI 54729-5034

Mailing address

475 Chippewa Mall Dr
Suite 145
Chippewa Falls, WI 54729-5034
Phone (715) 726-2020

National Provider Directory

National Provider Directory

Locations

475 Chippewa Mall Dr
Chippewa Falls, WI 54729
Phone (715) 720-3780

475 Chippewa Mall Dr
Ste 145
Chippewa Falls, WI 54729
Phone (715) 726-2020

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1699871186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CHIPPEWA MALL DR",
            "address_2": "SUITE 145",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295034",
            "telephone_number": "715-726-2020",
            "fax_number": "715-726-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHIPPEWA MALL DR",
            "address_2": "SUITE 145",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295034",
            "telephone_number": "715-726-2020",
            "fax_number": "715-726-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHVIEW EYE CARE CENTER - CHIPPEWA, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "BOURGERIE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-726-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

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