Northern Waters Ophthalmology SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHERN WATERS OPHTHALMOLOGY SC

Practice address

2111 Beaser Ave
Ashland, WI 54806-3608

Phone

(715) 682-0363

Fax

(715) 682-9638

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mark W Sneed, MD

Title

President

Phone

(715) 682-0363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1952354698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063608",
            "telephone_number": "715-682-0363",
            "fax_number": "715-682-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063608",
            "telephone_number": "715-682-0363",
            "fax_number": "715-682-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WATERS OPHTHALMOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-682-0363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32838900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Horizons North, Inc.
• Jennifer Newago, B.S., R.N.
• Laura Anton Ia Nitsche, CCC SLP
• Dale T Nixon, DDS
• Brian Lee Nordin, SAC
• Northland Counseling Services LTD
• NSH Ashland LLC (Ashland Health Services)
• NSH-Court Manor LLC (Court Manor Health Services)
• Lynn Marie O'Connell, COTA
• Kim Marie Ogle, MD

• Ophthalmology Physician in Ashland, WI
• Providers in Ashland, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.