Puent Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2977 Issued in WI

Legal business name

PUENT OPTOMETRY LLC

Practice address

2600 Rib Mountain Dr
Suite 120
Wausau, WI 54401-7196

Phone

(715) 574-6672

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brian Damien Puent, ODNPI 1578530648

Title

Owner

Phone

(715) 574-6672

Specialties & licenses 1

Addresses

Other names 1

• Rib Mountain Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Damien Puent, MS OD

  • Optometrist
  • Wausau, WI
  • NPI 1578530648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1710358049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 120",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-574-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 120",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-574-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENT OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "PUENT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAMIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-574-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rib Mountain Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.