Jacob Schoenenberger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACOB SCHOENENBERGER, OD

Practice address

114 S Madison St
Evansville, WI 53536-1320

Phone

(608) 882-4990

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By 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

Jacob Schoenenberger, ODNPI 1710976311

Title

Owner

Phone

(608) 882-4990

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.

• Jacob L Schoenenberger, OD

  • Optometrist
  • Evansville, WI
  • NPI 1710976311
  NPD (past) Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1851582472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361320",
            "telephone_number": "608-882-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361320",
            "telephone_number": "608-882-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB SCHOENENBERGER, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHOENENBERGER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-882-4990",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Line Dentistry
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• Cali Hensel, DDS
• Chad Anton Hermanson
• Allison Herrick, PHARMD.
• Raechel Jacobson
• Brennen Jaquint, PT, DPT
• Erin Keleny
• Jeremy S Kim, DO
• Kindling Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.