Active NPI
Herslof'S, Inc
- Optician
- Whitefish Bay, WI
National Provider Identifier
1710015342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- HERSLOF'S, INC
- Practice address
- 411 E Silver Spring Dr
Whitefish Bay, WI 53217-5225 - Phone
- (414) 962-1250
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Dickman
- Title
- VP
- Phone
- (414) 462-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
411 E Silver Spring Dr
Whitefish Bay, WI 53217-5225
Mailing address
12000 W Carmen Ave
Milwaukee, WI 53225-2116
Phone (414) 462-1300
Other names 1
- HERSLOF OPTICIANS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000238 | WI | Part B Supplier - Clinic/Group Practice | 4789578782 |
Receives reassigned benefits from 11 practitioners 16 other NPIs on this enrollment Practice locations: Milwaukee, WI; West Bend, WI; New Berlin, WI; Oconomowoc, WI; Pewaukee, WI; Racine, WI; Saukville, WI; Sheboygan, WI… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710015342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 W CARMEN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532252116",
"telephone_number": "414-462-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E SILVER SPRING DR",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175225",
"telephone_number": "414-962-1250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERSLOF'S, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DICKMAN",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "414-462-1300"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HERSLOF OPTICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.