Midwest Mobile Eye LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDWEST MOBILE EYE LLC

Practice address

1968 62ND St
Somerset, WI 54025-6926

Phone

(651) 303-9470

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Theirl, ODNPI 1194565408

Title

Owner

Phone

(651) 303-9470

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Theirl, OD

  • Optometrist
  • Amery, WI
  • NPI 1194565408
  NPD Authorized official

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1811884703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 62ND ST",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540256926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 62ND ST",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540256926",
            "telephone_number": "651-303-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MOBILE EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "THEIRL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-303-9470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Kobs, DC
• Autumn Kowalski, RN
• Brent H Larson, PT
• Josie Letourneau, LPCC
• Christina Lynn McCann, DPT
• Christine Milde-Rothe, MS, CCC-SLP
• Michelle Marie Paulisich, M.S., CCC-SLP
• PDG, P.a. (Park Dental)
• Tammy Lynn Prebish, RN
• Premier Chiropractic, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.