Oregon Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2924 Issued in WI

Legal business name

OREGON FAMILY EYE CARE, LLC

Practice address

600 Pleasant Oak Dr
Suite D
Oregon, WI 53575-3648

Phone

(608) 835-6658

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By 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. Kristopher Lee Glanville, O.D.NPI 1104825017

Title

Doctor of Optometry

Phone

(608) 835-6658

Specialties & licenses 1

Addresses

Locations

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.

• Kristopher L Glanville, O.D.

  • Optometrist
  • Madison, WI
  • NPI 1104825017
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891826566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLEASANT OAK DR",
            "address_2": "SUITE D",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753648",
            "telephone_number": "608-835-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLEASANT OAK DR",
            "address_2": "SUITE D",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753648",
            "telephone_number": "608-835-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLANVILLE",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "608-835-6658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Olsen, MFT-IT
• Richard Dewey Olson, O.D.
• Oregon Area Fire-EMS District
• Oregon Bike and Skate LLC
• Oregon Dental Professionals LLC
• Oregon Healthcare LLC (Oregon Healthcare and Rehabilitation Center)
• Oregon Hometown Pharmacy LLC (Oregon Hometown Pharmacy)
• Oregon Manor
• Oregon Manor LTD
• Oregon Mental Health Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.