DRS Elliott & Webb, S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2646-035 Issued in WI

Legal business name

DRS ELLIOTT & WEBB, S.C.

Practice address

304 W Cook St
Portage, WI 53901-2108

Phone

(608) 742-7133

Fax

(608) 745-1603

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Herbert T Webb III, ODNPI 1306830856

Title

Owner

Phone

(608) 742-7133

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

DRS Elliott Webb SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS. Elliott & Webb, S.C.

  • Optometrist
  • Janesville, WI
  • NPI 1588746671
  NPD tax ID

Locations

Practitioners 3

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

• Herbert Tucker Webb III, O.D.

  • Optometrist
  • Janesville, WI
  • NPI 1306830856
  Medicare reassignment Authorized official
• Nathan L Catterson, OD

  • Optometrist
  • Madison, WI
  • NPI 1366467466
  NPD (past)
• Tram Dang Nguyen, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1871783258
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831263995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W COOK ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012108",
            "telephone_number": "608-742-7133",
            "fax_number": "608-745-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W COOK ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012108",
            "telephone_number": "608-742-7133",
            "fax_number": "608-745-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ELLIOTT & WEBB, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-742-7133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2646-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38712200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Savior Healthcare, Inc.
• Amy Lynn Doherty, D.O.
• Ciara Doremus
• Kathleen Doyle, MD
• Jessica Rose Dredske, DC
• Lynne Giacomino Dugolenski, M.A.,CCC/SLP
• Eas-Z Medical Transport LLC
• Lana Marie Edwards, MS CCCSLP
• Eric Allen Eichline, LPN
• Kaitlin Eichman, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.