Individual provider Active NPI

Dean Marvin Springer, O.D.

  • Optometrist
  • Barron, WI
National Provider Identifier
1962615807
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2109035 Issued in WI
Practice address
341 E la Salle Ave
Barron, WI 54812-1502
Phone
(715) 637-2020
Fax
(715) 637-3140
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2109035 WI Primary

Addresses

Primary practice location

341 E la Salle Ave
Barron, WI 54812-1502

Mailing address

PO Box 170
Barron, WI 54812-0170
Phone (715) 637-5909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000955 WI Practitioner - Optometry 4587740857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2109035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean M Springer Eyecare Inc Optometrist CurrentSince Jan 1, 1986 Accepting new patients
Dean M Springer Eyecare Inc Optometrist Past Accepting new patients

Locations

341 E La Salle Ave
Barron, WI 54812
Phone (715) 637-2020

231 US Highway 8 63
Turtle Lake, WI 54889
Phone (715) 986-4448

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1962615807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548120170",
            "telephone_number": "715-637-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E LA SALLE AVE",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548121502",
            "telephone_number": "715-637-2020",
            "fax_number": "715-637-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "DEAN",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2109035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barron, WI

Sources for this page

Verify at the official NPI Registry.