THE BEAVER DAM EYE CLINIC
NPI 1447276894
Ophthalmology in Beaver Dam, WI

Q: What is Vita Park Eye Associates, Sc's NPI number?

The NPI number for Vita Park Eye Associates, Sc is 1447276894. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as The Beaver Dam Eye Clinic.

Q: What is Vita Park Eye Associates, Sc's specialty?

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

Active since July 15, 2006

240 CORPORATE DRIVE, BEAVER DAM, WI 53916(920) 887-1151(920) 887-3353 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2021, Sep 14, 2016 (2 updates tracked since 2016).

On this page

About The Beaver Dam Eye Clinic NPPES

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

THE BEAVER DAM EYE CLINIC (NPI 1447276894) is a healthcare organization registered as an ophthalmology in Beaver Dam, Wisconsin and active in the NPI registry since July 2006. The organization lists Thomas Castillo, Corporation Officer, as its authorized official.

NPPES Registry Identity

NPI1447276894

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameVITA PARK EYE ASSOCIATES, SC

Location Address240 CORPORATE DRIVEBeaver Dam, WI 53916-3115

Mailing Address240 Corporate DrBeaver Dam, WI 53916-3115 · (920) 887-1151 · Fax (920) 887-3353

Phone(920) 887-1151

Fax(920) 887-3353

Organization SubpartYes

Authorized OfficialThomas CastilloCorporation Officer · (920) 887-1151

Enumeration DateJuly 15, 2006

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1447276894 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

240 CORPORATE DRIVE, Beaver Dam, WI 53916

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Beaver Dam Eye Clinic

Other Identifiers 5

OtherCP765WI · Rail Road Medicare

Other0593830002Depmos Supplier

Medicaid21310700WI

Other519075Dean Care Hmo Location

Other000016160Office Location

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

Other Providers at the Same Location NPPES 6

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

ERIK O SCHOFF MD

Ophthalmology