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KIM TAVENER
NPI 1073994133
Technician/Technologist - Optician in Green Bay, WI

Active since June 15, 2015
923 ELIZA ST, GREEN BAY, WI 54301(920) 965-4700(920) 965-4701 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Tavener NPPES

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

KIM TAVENER (NPI 1073994133) is an individual optician in Green Bay, Wisconsin and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1073994133
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameKIM TAVENER
Location Address923 ELIZA STGreen Bay, WI 54301-3234
Mailing Address923 Eliza StGreen Bay, WI 54301-3234 · (920) 965-4700 · Fax (920) 965-4701
Phone(920) 965-4700
Fax(920) 965-4701
Sole ProprietorNo
Enumeration DateJune 15, 2015
✔ NPI 1073994133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
923 ELIZA ST, Green Bay, WI 54301
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Other Providers at the Same Location NPPES 20

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

MR. CRISTIAN A VASILIEV FNP
Nurse Practitioner (Family)
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
DR. FREDERIC W SCHMIDT M.D.
Otolaryngology
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
LINDA A ZAFFKE MS, CCC-A
Audiologist
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
JUSTIN D MILLER M.D.
Otolaryngology
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
MS. KATHRYN A ENGELHARDT AUD.
Audiologist
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
DR. ANATOL J STANKEVYCH M.D.
Ophthalmology
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
LORI R OLSON APNP
Nurse Practitioner
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800
LAUREL L DENHEIJER APNP
Nurse Practitioner (Family)
923 ELIZA ST
GREEN BAY, WI 54301
Brown County (920) 965-4800

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 Kim Tavener's NPI number?

The NPI number for Kim Tavener is 1073994133. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Kim Tavener located?

Kim Tavener practices at 923 Eliza St, Green Bay, WI 54301. The listed phone number is (920) 965-4700.

What is Kim Tavener's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Kim Tavener was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.