Community Eyecare Center SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2492 Issued in WI

Legal business name

COMMUNITY EYECARE CENTER SC

Practice address

222 S Washington St
Waupaca, WI 54981-1531

Phone

(715) 258-2020

Fax

(715) 258-9301

NPI assigned

Mar 22, 2007

Last updated

Apr 23, 2012By 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. Jeffrey L. Byers, O.D.NPI 1396764262

Title

President

Phone

(715) 258-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

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.

• Jeffrey L. Byers, O.D.

  • Optometrist
  • Waupaca, WI
  • NPI 1396764262
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1912023987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WASHINGTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811531",
            "telephone_number": "715-258-2020",
            "fax_number": "715-258-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WASHINGTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811531",
            "telephone_number": "715-258-2020",
            "fax_number": "715-258-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EYECARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-258-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEA",
            "identifier": "110001714",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38727200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda C Christians, RN
• Kendra L. Cichy, DPT
• Clarity Integrative Psychiatry LLC
• Constance M. Clausen, PTA
• Chad Alan Cloutier, DC
• Comprehensive Health Law Services, LLC
• Charles Conger, MD
• Guy S Connor, LCSW
• Alicia L Cook, SAC
• County of Waupaca (Waupaca County Dept of Human Services)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.