THE BEAVER DAM EYE CLINIC – NPI #1447276894
Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
THE BEAVER DAM EYE CLINIC is an ophthalmologist located in BEAVER DAM, WI. NPPES has assigned the NPI number 1447276894 to THE BEAVER DAM EYE CLINIC on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE BEAVER DAM EYE CLINIC” is a dba name, the actual legal business name for this organization is VITA PARK EYE ASSOCIATES, SC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.
The NPI profile was previously updated about 5 years ago on Apr 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE BEAVER DAM EYE CLINIC below.
NPI Profile for
VITA PARK EYE ASSOCIATES, SC
(about 20 years ago)
BEAVER DAM, WI 53916-3115 Phone: (920) 887-1151 Fax: (920) 887-3353
BEAVER DAM, WI 53916-3115 Phone: (920) 887-1151 Fax: (920) 887-3353
CORPORATION OFFICER
Phone: (920) 887-1151
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Identifiers for THE BEAVER DAM EYE CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DEAN CARE HMO LOCATION | 519075 | |
| OTHER | DEPMOS SUPPLIER | 0593830002 | |
| OTHER | OFFICE LOCATION | 000016160 | |
| OTHER | RAIL ROAD MEDICARE | WI | CP765 |
| MEDICAID | WI | 21310700 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207W00000X - Ophthalmology (Primary) |
||
| 152W00000X - Optometrist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.