Organization Active NPI

Hull & Williquette, LTD

Doing business as Eyewear Express

  • Optician
  • Rhinelander, WI
National Provider Identifier
1982772547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
HULL & WILLIQUETTE, LTD
Doing business as
Eyewear Express
Practice address
232 S Courtney St
Rhinelander, WI 54501-3319
Phone
(715) 365-1515
Fax
(715) 365-1518
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharon K Hull, ABOC
Title
Manager
Phone
(715) 365-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

232 S Courtney St
Rhinelander, WI 54501-3319

Mailing address

232 S Courtney St
Rhinelander, WI 54501-3319
Phone (715) 365-1515

Other identifiers 1

IdentifierTypeStateIssuer
38710400MedicaidWI

Other names 1

  • Eyewear Express Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414001330 WI Part B Supplier - Clinic/Group Practice 8123436052 Receives reassigned benefits from 19 practitioners
Practice locations: Rhinelander, WI

National Provider Directory

National Provider Directory

Locations

130 S Stevens St
Ste C
Rhinelander, WI 54501
Phone (715) 365-1515

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982772547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S COURTNEY ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013319",
            "telephone_number": "715-365-1515",
            "fax_number": "715-365-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S COURTNEY ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013319",
            "telephone_number": "715-365-1515",
            "fax_number": "715-365-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULL & WILLIQUETTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-365-1515",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38710400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.