Organization Active NPI

Family Eye Inc

  • Optometrist
  • Amery, WI
National Provider Identifier
1871746115
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2148-035 Issued in WI
Legal business name
FAMILY EYE INC
Practice address
120 Keller Ave N
Amery, WI 54001-1034
Phone
(715) 268-9010
Fax
(715) 268-5231
NPI assigned
Oct 30, 2008
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Daniel Charles Satterlund, O.D.NPI 1942305149
Title
Optometrist
Phone
(715) 268-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2148-035 WI Primary

Addresses

Primary practice location

120 Keller Ave N
Amery, WI 54001-1034

Mailing address

120 Keller Ave N
Amery, WI 54001-1034
Phone (715) 268-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930083785 WI DME Supplier - Physician - Optometrist 5991824849 Practice locations: Amery, WI
O20121114000445 WI Part B Supplier - Clinic/Group Practice 5991824849 Receives reassigned benefits from 1 practitioner
Practice locations: Amery, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr Daniel C Satterlund120 Keller Ave N, Amery, WI 54001-1034(715) 268-9010 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

120 Keller Ave N
Amery, WI 54001
Phone (715) 268-9010

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1871746115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011034",
            "telephone_number": "715-268-9010",
            "fax_number": "715-268-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011034",
            "telephone_number": "715-268-9010",
            "fax_number": "715-268-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "SATTERLUND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "715-268-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2148-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.