Organization Active NPI

Howard Vision Clinic Inc

  • Optometrist
  • Green Bay, WI
National Provider Identifier
1902104946
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1900 Issued in WI
Legal business name
HOWARD VISION CLINIC INC
Practice address
2149 Velp Ave Ste 100
Green Bay, WI 54303-5424
Phone
(920) 434-3767
Fax
(920) 434-8128
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Melanie Ann Stimpson, O.D.
Title
Owner
Phone
(920) 434-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1900 WI Primary

Addresses

Primary practice location

2149 Velp Ave Ste 100
Green Bay, WI 54303-5424

Mailing address

2149 Velp Ave Ste 100
Green Bay, WI 54303-5424
Phone (920) 434-3767

National Provider Directory

National Provider Directory

Locations

2149 Velp Ave
Ste 100
Green Bay, WI 54303
Phone (920) 434-3767

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1902104946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE STE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-3767",
            "fax_number": "920-434-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE STE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-3767",
            "fax_number": "920-434-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD VISION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "STIMPSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-434-3767",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.