Organization Active NPI

Earl W Nepple M.D.

  • Eyewear Supplier
  • West Bend, WI
National Provider Identifier
1710289608
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
19896 Issued in WI
Legal business name
EARL W NEPPLE M.D.
Doing business as
Clear Vision Optical
Practice address
1201 Oak St
West Bend, WI 53095-3800
Phone
(262) 338-0199
NPI assigned
Nov 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Authorized official

Name
Dr. Earl William Nepple, M.D.
Title
Owner
Phone
(262) 338-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 19896 WI Primary

Addresses

Primary practice location

1201 Oak St
West Bend, WI 53095-3800

Mailing address

1201 Oak St
West Bend, WI 53095-3800
Phone (262) 338-0199

Other identifiers 1

IdentifierTypeStateIssuer
30430500MedicaidWI

Other names 1

  • Clear Vision Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1710289608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 OAK ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953800",
            "telephone_number": "262-338-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953800",
            "telephone_number": "262-338-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL W NEPPLE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "NEPPLE",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-338-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30430500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.