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FOND DU LAC REGIONAL OPTICAL
NPI 1154595387
Eyewear Supplier in Fond Du Lac, WI

Active since April 18, 2008
421 CAMELOT DR, FOND DU LAC, WI 54935(920) 926-8316 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Aug 23, 2022 (2 updates tracked since 2022).

About Fond Du Lac Regional Optical NPPES

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

FOND DU LAC REGIONAL OPTICAL (NPI 1154595387) is a healthcare organization registered as an eyewear supplier in Fond Du Lac, Wisconsin and active in the NPI registry since April 2008. The organization lists Amy Jo Grinnell, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1154595387
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address421 CAMELOT DRFond Du Lac, WI 54935-8335
Mailing Address421 Camelot DrFond Du Lac, WI 54935-8335 · (920) 926-8316
Phone(920) 926-8316
Organization SubpartNo
Authorized OfficialAmy Jo GrinnellVp Finance · (608) 260-3586
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1154595387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
421 CAMELOT DR, Fond Du Lac, WI 54935
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Other Names 2

Doing Business AsFond Du Lac Regional Optical
Doing Business AsSsm Health Eye Care

Other Identifiers 1

Medicaid38437100WI

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.

AGNESIAN HEALTHCARE INC
Durable Medical Equipment & Medical Supplies
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8332
HEATHER PEARSON SCHMIDT DO
Family Medicine
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8500
DARIA L SONNENFELD LAT
Specialist/Technologist (Athletic Trainer)
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-7940
ALAN W ROETKER MD
Orthopaedic Surgery
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8616
PATRICIA A WALKER CST
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8616
ELIZABETH A GORMAN MS CCC-A
Audiologist
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8460
KATHERINE A KRANTZ PT
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8065
KAREN ANN WILLIAMS APNP
Nurse Practitioner (Family)
421 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8616

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 Agnesian Healthcare Inc's NPI number?

The NPI number for Agnesian Healthcare Inc is 1154595387. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is doing business as Fond Du Lac Regional Optical and SSM Health Eye Care.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 421 Camelot Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8316.

What is Agnesian Healthcare Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Agnesian Healthcare Inc was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.