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Contact Information

NORTHERN SIGHT VISION CLINIC, LLC
318 N. 6TH STREET
TOMAHAWK, WI54487
 Phone: 715-453-3636
 Fax: 715-453-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NORTHERN SIGHT VISION CLINIC, LLC

NPI Number 1972723716
LBN Legal business name NORTHERN SIGHT VISION CLINIC, LLC
Authorized official JESSICA STROMBERG - (OPTOMETRIST / CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 04/29/2014 - About 12 years ago
Identifiers
WI License # 2911
WI Medicaid 38564600
WI Medicaid 38618200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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