Cherry Optical Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

456-0000179711-03 Issued in WI

Legal business name

CHERRY OPTICAL INC.

Practice address

1640B Fire Lane Dr
Green Bay, WI 54311-6245

Phone

(920) 469-2559

Fax

(920) 469-2658

NPI assigned

Jun 28, 2014

Last updated

Jun 28, 2014By 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

Joseph Aron Cherry

Title

Owner/Vice President

Phone

(920) 469-2559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403913600000",
    "number": "1952716987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640B FIRE LANE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116245",
            "telephone_number": "920-469-2559",
            "fax_number": "920-469-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640B FIRE LANE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116245",
            "telephone_number": "920-469-2559",
            "fax_number": "920-469-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ARON",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "920-469-2559"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "456-0000179711-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dongmei Chen, M.D., PH.D
• Hsuan-Ling Chen, CRNA
• Xinqian Chen, MD
• Matthew D Cherney, DC
• Necole L Cherovsky, RD
• Kristin Marie Chervenka, MA
• John R Cheslock, MA, LPC-IT
• Stacey Chevalier
• Child and Family Consultants
• Children's Hospital of Wisconsin

• Clinical Medical Laboratory in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.