Organization Active NPI

Vision Clinic S.C.

  • Optometrist
  • Schofield, WI
National Provider Identifier
1831141076
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1812 Issued in WI
Legal business name
VISION CLINIC S.C.
Practice address
5608 Business Highway 51 S
Schofield, WI 54476-1331
Phone
(715) 359-2020
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. William Arthur Knutson, O.D.
Title
Owner
Phone
(715) 359-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1812 WI Primary

Addresses

Primary practice location

5608 Business Highway 51 S
Schofield, WI 54476-1331

Mailing address

5608 Business Highway 51 S
Schofield, WI 54476-1331
Phone (715) 359-2020

Other identifiers 1

IdentifierTypeStateIssuer
38518600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1831141076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 BUSINESS HIGHWAY 51 S",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761331",
            "telephone_number": "715-359-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 BUSINESS HIGHWAY 51 S",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761331",
            "telephone_number": "715-359-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-359-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38518600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.