Eye See, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2929-035 Issued in WI

Legal business name

EYE SEE, LLC

Practice address

2440 W Mason St
Green Bay, WI 54303-4711

Phone

(920) 405-9165

Fax

(920) 405-9296

NPI assigned

Dec 7, 2011

Last updated

Dec 7, 2011By 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. Laurie J Larson, O.D.NPI 1427079003

Title

Optometrist/Member of Eye See, LLC

Phone

(920) 405-9165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Laurie Jean Larson, O.D.

  • Optometrist
  • Green Bay, WI
  • NPI 1427079003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1831467703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5404",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541155404",
            "telephone_number": "920-405-9165",
            "fax_number": "920-405-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034711",
            "telephone_number": "920-405-9165",
            "fax_number": "920-405-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER OF EYE SEE, LLC",
        "authorized_official_telephone_number": "920-405-9165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2929-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph Francis Evonich III, M.D.
• Judy A Exl, MSW
• Eye Associates of Green Bay, SC
• Eye Care for You, SC
• Eye Care Professionals Inc
• Meghan Callaghan Eytcheson, CCC-SLP
• Chinenye Vivian Ezembamalu, NP
• Allen E Faber, CRNA
• Mikaila Fager, MS, SLP-CCC
• Timothy A Fagre, MD

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.