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CARDINAL FAMILY EYE CARE LLC
NPI 1083808802
Optometrist in Thorp, WI

Active since September 05, 2007CLIA 52D2019862 · Waiver
102 E STANLEY ST, THORP, WI 54771(715) 669-5631(715) 669-5353 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cardinal Family Eye Care Llc NPPES

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

CARDINAL FAMILY EYE CARE LLC (NPI 1083808802) is a healthcare organization registered as an optometrist in Thorp, Wisconsin and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Jacob B Vergin, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1083808802
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCARDINAL FAMILY EYE CARE LLC
Location Address102 E STANLEY STThorp, WI 54771-9649
Mailing Address102 E Stanley St, Po Box 468Thorp, WI 54771-9649 · (715) 669-5631 · Fax (715) 669-5353
Phone(715) 669-5631
Fax(715) 669-5353
Organization SubpartNo
Authorized OfficialJacob B VerginManaging Partner · (715) 861-5253
Enumeration DateSeptember 5, 2007
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1083808802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3083-035
Definition
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.
102 E STANLEY ST, Thorp, WI 54771
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Other Identifiers 3

Medicaid38726700WI
Medicare NSC6046420001WI
Medicare PIN000047998WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.Insurance ›

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 52D2019862

Cardinal Family Eye Care · Thorp, WI
Active · expires Feb 7, 2027
CLIA Number52D2019862
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Ryan E. Beloungy
Laboratory Phone(715) 669-5631
Laboratory LocationCardinal Family Eye Care201 E Hill St, Thorp, WI 54771
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DRS MELCHER AND SPRAGUE OPTOMETRISTS SC
Optometrist
102 E STANLEY ST
THORP, WI 54771
Clark County (715) 669-5631
DR.S MELCHER AND SPRAGUE
Optometrist
102 E STANLEY ST
THORP, WI 54771
Clark County (715) 669-5631

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 Cardinal Family Eye Care LLC's NPI number?

The NPI number for Cardinal Family Eye Care LLC is 1083808802. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Cardinal Family Eye Care LLC located?

Cardinal Family Eye Care LLC is located at 102 E Stanley St, Thorp, WI 54771. The listed phone number is (715) 669-5631.

What is Cardinal Family Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Cardinal Family Eye Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2019862) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cardinal Family Eye Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Cardinal Family Eye Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cardinal Family Eye Care LLC was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.