Individual provider Active NPI

Victor A Thonn, O.D.

  • Optometrist
  • Hillsboro, WI
National Provider Identifier
1972674299
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2569 Issued in WI
Practice address
845 Water Ave
Hillsboro, WI 54634-6213
Phone
(608) 489-2451
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2832 MN
Optometrist 152W00000X 2569 WI Primary

Addresses

Primary practice location

845 Water Ave
Hillsboro, WI 54634-6213

Mailing address

1836 South Ave
La Crosse, WI 54601-5494
Phone (608) 782-7300

Other practice location 1

560 S Maple St
Suite 110
Waconia, MN 55387-1733
Phone (952) 442-4445

Other identifiers 1

IdentifierTypeStateIssuer
894602700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060308000835 MN Practitioner - Optometry 0244247799 Reassigns benefits to 1 organization
I20200121001426 WI Practitioner - Optometry 0244247799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Clinic LTDGroup PAC ID 9638082779, 422 clinicians

Practice addresses (Care Compare)

1111 W Wisconsin St
Sparta, WI 54656-2233
Phone (608) 269-6731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2569WIMDGeneral Practice Dentistry
02041IAMDMechanotherapist
2041IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edina Eye Physicians and Surgeons PA Optometrist Current Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Clinic LTD CurrentSince Jan 6, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jan 30, 2020 Accepting new patients
Edina Eye Physicians and Surgeons PA Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jan 30, 2020 Accepting new patients
Edina Eye Physicians and Surgeons PA CurrentSince Oct 1, 2011 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jan 6, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jan 16, 2020 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jan 16, 2020 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Gundersen Clinic, LTD. Past Accepting new patients
David Thelen Past Accepting new patients

Locations

7450 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 832-8100

560 S Maple St
Ste 110
Waconia, MN 55387
Phone (952) 442-4445

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

1111 W Wisconsin St
Sparta, WI 54656
Phone (608) 263-9531

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

Interoperability endpoints

  • Direct secure messaging: vthonn318846@direct.emplifyhealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1972674299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015494",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546346213",
            "telephone_number": "608-489-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S Maple St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Waconia",
            "state": "MN",
            "postal_code": "553871733",
            "country_code": "US",
            "telephone_number": "952-442-4445",
            "fax_number": "952-442-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THONN",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2832",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894602700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, WI

Sources for this page

Verify at the official NPI Registry.