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

Active since December 29, 2009CLIA 52D2106472 · Waiver
540 VILLAGE WALK LN, STE G, JOHNSON CREEK, WI 53038(920) 699-4388 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Uwhp Wrmc Center For Eye Care - Johnson Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UWHP WRMC CENTER FOR EYE CARE - JOHNSON CREEK (NPI 1003146929) is a healthcare organization registered as an ophthalmology in Johnson Creek, Wisconsin and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Robert J Kluge, Patient Financial Services Manager, as its authorized official.

NPPES Registry Identity

NPI1003146929
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWATERTOWN REGIONAL MEDICAL CENTER, INC
Location Address540 VILLAGE WALK LN, STE GJohnson Creek, WI 53038-9554
Mailing Address125 Hospital DrWatertown, WI 53098-3303 · (920) 262-4784 · Fax (920) 262-4640
Organization SubpartYesParent: Watertown Regional Medical Center, Nnc
Authorized OfficialRobert J KlugePatient Financial Services Manager · (920) 262-4784
Enumeration DateDecember 29, 2009
Last NPPES UpdateMarch 19, 2014
NPI 1003146929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

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.

Also ListedOptometristTaxonomy 152W00000X
540 VILLAGE WALK LN, Johnson Creek, WI 53038

Other Names 1

Doing Business AsUwhp Wrmc Center For Eye Care - Johnson Creek

Other Identifiers 2

Medicaid100007050WI
Medicare PIN000030125WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2106472

Watertown Regional Medical Center Occupational Health Clinic · Watertown, WI
Active · expires Dec 17, 2027
CLIA Number52D2106472
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Whitney Van Reesen
Laboratory Phone(920) 262-4253
Laboratory LocationWatertown Regional Medical Center Occupational Health Clinic123 Hospital Drive Suite 2004, Watertown, WI 53098
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
540 VILLAGE WALK LN
JOHNSON CREEK, WI 53038
Chiropractor
540 VILLAGE WALK LN, SUITE B
JOHNSON CREEK, WI 53038
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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Watertown Regional Medical Center, Inc's NPI number?

The NPI number for Watertown Regional Medical Center, Inc is 1003146929. It was assigned to this organization in the NPPES registry on December 29, 2009. The provider is doing business as Uwhp Wrmc Center For Eye Care - Johnson Creek.

Where is Watertown Regional Medical Center, Inc located?

Watertown Regional Medical Center, Inc is located at 540 Village Walk Ln Ste G, Johnson Creek, WI 53038. The listed phone number is (920) 699-4388.

What is Watertown Regional Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Watertown Regional Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2106472) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Watertown Regional Medical Center, Inc was last updated on March 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.