Dale T Massignan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1821 Issued in WI

Practice address

523 East Wall Street
Eagle River, WI 54521

Phone

(715) 479-6489

Fax

(715) 479-6200

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Ironwood Hospital & Clinics, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1760487607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545210999",
            "telephone_number": "715-479-6489",
            "fax_number": "715-479-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 EAST WALL STREET",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "54521",
            "telephone_number": "715-479-6489",
            "fax_number": "715-479-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIGNAN",
        "first_name": "DALE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38517000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Lorenz
• James R Lovas, D.D.S.
• Brett B Maday, PHARMD
• Michelle M Madderom, D.C.
• Andrea Martin
• Marci McDonald, APNP
• MCHS Hospitals Inc
• MCHS Hospitals Inc
• Myrna Mitchell
• Terrance D Moe, MD

• Optometrist in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.