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GUNDERSEN CLINIC LTD. NPI 1578518346


NPI Information

NPI: 1578518346
Provider Name: GUNDERSEN CLINIC, LTD.

Doing Business As: GUNDERSEN LUTHERAN EYE CLINIC - SPARTA

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 52D0396448

Address:
1111 W WISCONSIN ST
SPARTA, WI
ZIP 54656
Phone: (608) 782-7300
Get Directions

GUNDERSEN CLINIC, LTD. is an optometrist in Sparta, WI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GUNDERSEN CLINIC, LTD. NPI is 1578518346. The provider is registered as an organization entity type.
The provider Is Doing Business As Gundersen Lutheran Eye Clinic - Sparta.

The provider's business location address is:

1111 W WISCONSIN ST
SPARTA, WI
ZIP 54656
Phone: (608) 782-7300

The provider's authorized official is Kari B Adank .
The authorized official title is Cco and has the following contact phone number (608) 775-8025.

The CLIA number assigned to this NPI record is 52D0396448 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3152W00000XOptometristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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