Active NPI
Kimberly Wendling
- Optician
- Manitowoc, WI
National Provider Identifier
1922406743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 4801 Expo Dr
Manitowoc, WI 54220-9341 - Phone
- (920) 684-4429
- Fax
- (920) 684-6892
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
4801 Expo Dr
Manitowoc, WI 54220-9341
Mailing address
4801 Expo Dr
PO Box 1900
Manitowoc, WI 54220-9341
Phone (920) 684-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1922406743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 EXPO DR",
"address_2": "PO BOX 1900",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542209341",
"telephone_number": "920-684-4429",
"fax_number": "920-684-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 EXPO DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542209341",
"telephone_number": "920-684-4429",
"fax_number": "920-684-6892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDLING",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.