Premier Eye Care Prescott, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3048-35 Issued in WI

Legal business name

PREMIER EYE CARE PRESCOTT, LTD.

Doing business as

Premier Eye Care, Prescott

Practice address

1435 N Acres Rd Ste 700
Prescott, WI 54021-7053

Phone

(651) 283-2400

NPI assigned

Aug 8, 2017

Last updated

Feb 12, 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. Kristel Ann Rogers, ODNPI 1699706515

Title

Vice President/Secretary

Phone

(715) 262-1020

Specialties & licenses 1

Addresses

Other names 1

• Premier Eye Care, Prescott Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 5

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.

• Kristel Ann Rogers, O.D.

  • Optometrist
  • Cottage Grove, MN
  • NPI 1699706515

  WI

  Medicare reassignment Care Compare group Authorized official
• Benjamin Michalicek, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1396323176

  WI

  Medicare reassignment Care Compare group NPD
• Aaron Michael Treece, OD

  • Optometrist
  • North Oaks, MN
  • NPI 1801636501

  WI

  Medicare reassignment Care Compare group NPD
• Jeffrey M Bieter, OD

  • Optometrist
  • Cottage Grove, MN
  • NPI 1962450627

  WI

  Medicare reassignment Care Compare group
• Brittany E Radke, O.D.

  • Optometrist
  • Oakdale, MN
  • NPI 1780022210

  WI

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1851816169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N ACRES RD STE 700",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217053",
            "telephone_number": "715-262-1020",
            "fax_number": "715-262-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N ACRES RD STE 700",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540217053",
            "telephone_number": "651-283-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE CARE PRESCOTT, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KRISTEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "715-262-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3048-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Care, Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orion Prescott LLC (Prescott Nursing and Rehabilitation Community)
• Prescott Emergency Medical Service (Prescott Fire & EMS Association)
• Prescott Family Dental
• Blake Prochnow
• Rae Chiropractic, LLC (Prescott Chiropractic)
• Sheila Scheele, CPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.