Ron M Taub, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1911-035 Issued in WI

Practice address

1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483

Phone

(715) 423-1340

NPI assigned

May 15, 2006

Last updated

Mar 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment NPD
• Shoptikal LLC

  dba Shopko Optical 4080

  • Eyewear Supplier
  • Madison, WI
  • NPI 1871159251

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Shopko Stores Operating Co LLC

  dba ShopKo Pharmacy 024

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)
• Spectacular Visions LTD

  • Eyewear Supplier
  • Clintonville, WI
  • NPI 1093725103

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1881645612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-423-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-423-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "RON",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1911-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38575700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Associates of Wisconsin Rapids SC
• Robin Swanson
• Myra L Swiston, PT
• Dawn Tammen, O.N.C. R.N. F.A.
• Shee-Chang Tang, MD
• Cassandra L Tellekson
• Jennifer A. Thames, O.T.
• Steven Joseph Thames, OTR
• Bor Thao
• Therapies Plus LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.