Palm Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2939-035 Issued in WI

Legal business name

PALM VISION, LLC

Practice address

3800 State Road 16
Suite 103
La Crosse, WI 54601-1826

Phone

(608) 781-2020

Fax

(608) 781-2445

NPI assigned

Oct 21, 2009

Organization subpart

No

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

Authorized official

Name

Andrew Palm, O.D.

Title

Owner

Phone

(608) 317-3092

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1801122148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 STATE ROAD 16",
            "address_2": "SUITE 103",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011826",
            "telephone_number": "608-781-2020",
            "fax_number": "608-781-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STATE ROAD 16",
            "address_2": "SUITE 103",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011826",
            "telephone_number": "608-781-2020",
            "fax_number": "608-781-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-317-3092",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2939-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Pagel
• Rebecca Paggi
• Alanna Pahos, BSW
• Ituriel Ruben Palafox Lopez, C-AA
• Carli Sue Paletta, APNP
• David E Palm, PHD
• Anna Palmer, FNP-BC
• Linda Susan Palmer, REHABILITATION SPECI
• Raj Palraj, MD
• Taylor McKenzie Pamperin, FNP

• Optometrist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.