Regner Family Vision Clinic, S.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1356-035 Issued in WI

Legal business name

REGNER FAMILY VISION CLINIC, S.C.

Practice address

4014 77TH St
Kenosha, WI 53142-4314

Phone

(262) 694-9103

Fax

(262) 694-9106

NPI assigned

Dec 15, 2006

Last updated

Mar 8, 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. John L Regner, OD

Title

President

Phone

(262) 694-9103

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.

• Tristan Robert Begotka, O.D.

  • Optometrist
  • Grafton, WI
  • NPI 1114369063
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1871655787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 77TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424314",
            "telephone_number": "262-694-9103",
            "fax_number": "262-694-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 77TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424314",
            "telephone_number": "262-694-9103",
            "fax_number": "262-694-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGNER FAMILY VISION CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "REGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-694-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "1356-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Reedy
• Briana Dawn Reese
• Kelly A Reeves, DENTAL HYGIENIST
• Michele M Reget, OTR
• Regina Capelli-Scheidt M.D,S.C
• Kelly Regner
• Mark Rehorst, DMD
• Reichert & Kelsey Prosthetics Orthotics LLC
• Reichert Prosthetics & Orthotics, LLC
• Douglas E Reichert, CP

• Durable Medical Equipment & Medical Supplies in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.