Organization Active NPI

Northwoods Family Eyecare, LLC

  • Optometrist
  • Chippewa Falls, WI
National Provider Identifier
1902918493
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHWOODS FAMILY EYECARE, LLC
Practice address
113 N Bridge St
Chippewa Falls, WI 54729-2404
Phone
(715) 723-9187
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Denise Glantz Arneson, O.D.
Title
Partner
Phone
(715) 723-9187

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 0246180001 WI

Addresses

Primary practice location

113 N Bridge St
Chippewa Falls, WI 54729-2404

Mailing address

113 N Bridge St
Chippewa Falls, WI 54729-2404
Phone (715) 723-9187

Other identifiers 1

IdentifierTypeStateIssuer
38714400MedicaidWI

National Provider Directory

National Provider Directory

Locations

27477 State Highway 64
Ste C
Cornell, WI 54732
Phone (715) 239-0555

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1902918493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-723-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-723-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ARNESON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "GLANTZ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "715-723-9187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "0246180001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38714400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.