Dba Tomahawk Eyecare
LBN: Minocqua Optical & Wellness Llc
Dba Tomahawk Eyecare is an health care organization with primary practice located at 1334 N. 4Th Street Suite 101, Tomahawk WI 54487-2137. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Minocqua Optical & Wellness Llc can be contacted via phone (715) 224-2200, or through Coffen, Margaret Ann via phone (715) 224-2200.
Contact Information
Primary practice address
1334 N. 4Th Street Suite 101
Tomahawk WI 54487-2137
Phone: (715) 224-2200
Fax: (419) 858-9769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1225307242 |
|---|---|
| LBN Legal business name | Minocqua Optical & Wellness Llc |
| DBA Doing business as | Dba Tomahawk Eyecare |
| Authorized official | Coffen, Margaret Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2011 |
| Last updated | Mar 13th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225307242 | NPPES |
| Wisconsin | MEDICAID | 420969 |
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