Nor-Door Island Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2505-35 Issued in WI

Legal business name

NOR-DOOR ISLAND EYECARE INC

Practice address

910 Main Rd
Washington Island, WI 54246-9004

Phone

(920) 847-3093

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Caroline S Reiter, ODNPI 1538355839

Title

Owner

Phone

(920) 847-3093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Reiter, OD

  • Optometrist
  • Washington Island, WI
  • NPI 1538355839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1982136248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-847-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAIN RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469004",
            "telephone_number": "920-847-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOR-DOOR ISLAND EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-847-3093",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2505-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Door County Memorial Hospital (Door County Medical Center Washington Island)
• Door County Memorial Hospital (Door County Medical Center Washington Island)
• Barbara Heilman
• Catherine M. Hopkins, M.A.FAAA
• Beth A Lux, M.D.
• Caroline Reiter, OD
• Maryjeanne Lamb Schaffmeyer
• Amy Delyla Ulm, M.ED.
• Robyn Marie Weilbaker, CNP

• Optometrist in Washington Island, WI
• Providers in Washington Island, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.