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EYE CLINIC OF WISCONSIN, S.C.
NPI 1285617936
Ophthalmology in Medford, WI

Active since November 28, 2005
309 E BROADWAY AVE, MEDFORD, WI 54451(715) 748-5775(715) 748-0667 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Eye Clinic Of Wisconsin, S.c. NPPES

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

EYE CLINIC OF WISCONSIN, S.C. (NPI 1285617936) is a healthcare organization registered as an ophthalmology in Medford, Wisconsin and active in the NPI registry since November 2005. The organization lists Douglas T. Edwards, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1285617936
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CLINIC OF WISCONSIN, S.C.
Location Address309 E BROADWAY AVEMedford, WI 54451-1835
Mailing Address614 1st StWausau, WI 54403-4851 · (715) 845-8201 · Fax (715) 848-1722
Phone(715) 748-5775
Fax(715) 748-0667
Organization SubpartNo
Authorized OfficialDouglas T. EdwardsMd/owner · (715) 261-8540
Enumeration DateNovember 28, 2005
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1285617936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
309 E BROADWAY AVE, Medford, WI 54451
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Other Identifiers 1

Medicaid32667800WI

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

JEFFERY R BOURGERIE O.D.
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020
BEYOND 20-20 VISION THERAPY LLC
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020
PERRY A ARNDT O.D.
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020
JULIE A THUMS O.D.
Optometrist
309 E BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 748-2020

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 Eye Clinic Of Wisconsin, S.C.'s NPI number?

The NPI number for Eye Clinic Of Wisconsin, S.C. is 1285617936. It was assigned to this organization in the NPPES registry on November 28, 2005.

Where is Eye Clinic Of Wisconsin, S.C. located?

Eye Clinic Of Wisconsin, S.C. is located at 309 E Broadway Ave, Medford, WI 54451. The listed phone number is (715) 748-5775.

What is Eye Clinic Of Wisconsin, S.C.'s specialty?

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

What insurance does Eye Clinic Of Wisconsin, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Eye Clinic Of Wisconsin, S.C. 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 Eye Clinic Of Wisconsin, S.C. was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.