1 Vision S.C.

LBN: 1 Vision S.C.
1 Vision S.C. is an health care organization with primary practice located at 150A County Rd B , Shawano WI 54166-7072. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. 1 Vision S.C. can be contacted via phone (715) 526-3163, or through Peterson, Thomas G via phone (715) 526-3163.

Contact Information

Primary practice address
150A County Rd B Shawano WI 54166-7072
Phone: (715) 526-3163
Fax: (715) 526-4019
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Thomas G Doctor of Optometry (OD)
Phone: (715) 526-3163

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2324 Wisconsin

Profile Details

NPI number 1033197397
LBN Legal business name 1 Vision S.C.
DBA Doing business as
Authorized official Peterson, Thomas G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated May 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033197397 NPPES
Wisconsin Other 410033786 RAILROAD MEDICARE
Wisconsin MEDICAID 38578000 RAILROAD MEDICARE

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