Foster Primary Eye Care LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1728-035 Issued in WI

Legal business name

FOSTER PRIMARY EYE CARE LTD

Practice address

2 E Main St
Black River Falls, WI 54615-1409

Phone

(715) 284-4876

Fax

(715) 284-4051

NPI assigned

Jan 23, 2009

Last updated

Nov 18, 2010By 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

Dr. Gregory Alan Foster, O.D.NPI 1043294697

Title

President

Phone

(715) 284-4876

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Foster Primary Eye Care LTD

  • Optometrist
  • Neillsville, WI
  • NPI 1417195892

  O20090402000656

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory A. Foster, O.D.

  • Optometrist
  • Neillsville, WI
  • NPI 1043294697
  NPD Authorized official
• Nicholas J Keszo, O.D.

  • Optometrist
  • Keshena, WI
  • NPI 1710928916
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1972741353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "address_2": "P.O. BOX 190",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151409",
            "telephone_number": "715-284-4876",
            "fax_number": "715-284-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151409",
            "telephone_number": "715-284-4876",
            "fax_number": "715-284-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER PRIMARY EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-284-4876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1728-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38721100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Firkins, MS, LCSW,CSAC
• Charlotte Ann Fleischmann, RN
• Footprints in Time Midwifery Services LLC
• Forrest Hills LLC.
• Foster Primary Eye Care
• Dana Lee French, LMFT
• Emily A Fuhs, DPT
• Lisa Kay Gaede, MS
• Kristin M Garcia, LMT
• Garson Growth & Counseling Service

• Optometrist in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.