NORTHEAST WISCONSIN VISION CENTER, LTD.
NPI 1295715415
Ophthalmology in Oshkosh, WI

Q: What is Northeast Wisconsin Vision Center, Ltd.'s specialty?

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

Active since January 23, 2006CLIA 52D2125604 · Waiver

2130 S WASHBURN ST, OSHKOSH, WI 54904(920) 232-6550(920) 232-6552 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Wisconsin Vision Center, Ltd. NPPES

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

NORTHEAST WISCONSIN VISION CENTER, LTD. (NPI 1295715415) is a healthcare organization registered as an ophthalmology in Oshkosh, Wisconsin and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2027, maintains a secondary practice location in Oshkosh, and lists Eric M Larson, President, as its authorized official.

NPPES Registry Identity

NPI1295715415

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameNORTHEAST WISCONSIN VISION CENTER, LTD.

Location Address2130 S WASHBURN STOshkosh, WI 54904-8949

Mailing AddressPo Box 2723Oshkosh, WI 54903-2723

Phone(920) 232-6550

Fax(920) 232-6552

Organization SubpartNo

Authorized OfficialEric M LarsonPresident · (920) 232-6550

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1295715415 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

2130 S WASHBURN ST, Oshkosh, WI 54904

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Secondary Practice Location 1

Location 11885 W Pointe DrOshkosh, WI 54902-4174 · Phone (920) 232-6550 · Fax (920) 232-6552

Other Identifiers 1

Medicaid32863800WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, BlueCross BlueShield of Tennessee and more.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 52D2125604

Northeast Wisconsin Vision Center · Oshkosh, WI

Active · expires Feb 9, 2027

CLIA Number52D2125604

Laboratory TypePhysician Office

Certificate Effective DateFebruary 10, 2025

Certificate Expiration DateFebruary 9, 2027

Laboratory DirectorMs. Rhonda Blair

Laboratory Phone(920) 232-6550

Laboratory LocationNortheast Wisconsin Vision Center1885 W Point Drive, Oshkosh, WI 54902

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Northeast Wisconsin Vision Center, Ltd.'s NPI number?

The NPI number for Northeast Wisconsin Vision Center, Ltd. is 1295715415. It was assigned to this organization in the NPPES registry on January 23, 2006.

Where is Northeast Wisconsin Vision Center, Ltd. located?

Northeast Wisconsin Vision Center, Ltd. is located at 2130 S Washburn St, Oshkosh, WI 54904. The listed phone number is (920) 232-6550.

What is Northeast Wisconsin Vision Center, Ltd.'s specialty?

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

Does Northeast Wisconsin Vision Center, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2125604) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Wisconsin Vision Center, Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, BlueCross BlueShield of Tennessee, CareSource (Common Ground Healthcare) and HealthPartners and 2 other insurers list Northeast Wisconsin Vision Center, Ltd. 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 Northeast Wisconsin Vision Center, Ltd. was last updated on January 16, 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.