UWHP WRMC CENTER FOR EYE CARE - JOHNSON CREEK
NPI 1003146929
Ophthalmology in Johnson Creek, WI

NPI Status: Active since December 29, 2009

Contact Information

540 VILLAGE WALK LN
STE G
JOHNSON CREEK, WI
ZIP 53038
Phone: (920) 699-4388

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  • Organization
  • Ophthalmology
  • CLIA Number: 52D2106472
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-17-2027

About UWHP WRMC CENTER FOR EYE CARE - JOHNSON CREEK

This page provides the complete NPI Profile along with additional information for Uwhp Wrmc Center For Eye Care - Johnson Creek, a provider established in Johnson Creek, Wisconsin operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1003146929 assigned on December 2009. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Uwhp Wrmc Center For Eye Care - Johnson Creek. The authorized official of this NPI record is Robert J Kluge (Patient Financial Services Manager)

NPI
1003146929
Provider Legal Name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other Organization Name
UWHP WRMC CENTER FOR EYE CARE - JOHNSON CREEK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
540 VILLAGE WALK LN STE G JOHNSON CREEK, WI 53038
Location Phone
(920) 699-4388
Mailing Address
125 HOSPITAL DR WATERTOWN, WI 53098
Mailing Phone
(920) 262-4784
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-29-2009
Last Update Date
03-19-2014
Code Navigator

Ophthalmologists like Uwhp Wrmc Center For Eye Care - Johnson Creek specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT J KLUGE

Authorized Official Title
PATIENT FINANCIAL SERVICES MANAGER
Authorized Official Phone
(920) 262-4784

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100007050MEDICAID (05)WI 
000030125MEDICARE PIN (08)WI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2106472
Facility Type
Physician Office
Certificate Effective Date
December 18, 2025
Certificate Expiration Date
December 17, 2027
Laboratory Director
DR. WHITNEY VAN REESEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Uwhp Wrmc Center For Eye Care - Johnson Creek to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003146929, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 4 + 1 + 2 + 9 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003146929.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
540 VILLAGE WALK LN, SUITE E
JOHNSON CREEK, WI 53038
Dentist (General Practice)
540 VILLAGE WALK LN, SUITE E
JOHNSON CREEK, WI 53038
Chiropractor
540 VILLAGE WALK LN, SUITE B
JOHNSON CREEK, WI 53038
Family Medicine
540 VILLAGE WALK LN
JOHNSON CREEK, WI 53038
Chiropractor
540 VILLAGE WALK LN, SUITE B
JOHNSON CREEK, WI 53038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003146929, enumerated as an "organization" on December 29, 2009.

The provider is located at 540 VILLAGE WALK LN STE G JOHNSON CREEK, WI 53038 and the phone number is (920) 699-4388.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.