CORGAN VISION CLINIC, S.C.
NPI 1467757757
Optometrist in Marinette, WI
About Corgan Vision Clinic, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORGAN VISION CLINIC, S.C. (NPI 1467757757) is a healthcare organization registered as an optometrist in Marinette, Wisconsin and active in the NPI registry since January 2011. The organization lists Timothy Corgan, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corgan Vision Clinic, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Corgan Vision Clinic, S.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Corgan Vision Clinic, S.C.'s NPI number?
The NPI number for Corgan Vision Clinic, S.C. is 1467757757. It was assigned to this organization in the NPPES registry on January 18, 2011.
Where is Corgan Vision Clinic, S.C. located?
Corgan Vision Clinic, S.C. is located at 2706 Cahill Rd Ste E, Marinette, WI 54143. The listed phone number is (715) 330-5570.
What is Corgan Vision Clinic, S.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Corgan Vision Clinic, S.C. enrolled in Medicare?
Yes. Corgan Vision Clinic, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corgan Vision Clinic, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Corgan Vision Clinic, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Corgan Vision Clinic, S.C. was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Corgan Vision Clinic, S.c. · NPI 1467757757
Optometrist organization in Marinette, Wisconsin. Organization record, active in the CMS NPPES registry since January 18, 2011.
## Identity
- **NPI:** 1467757757 (Entity type: Organization)
- **Enumerated:** January 18, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Corgan, OPTOMETRIST
## Practice location
- **Address:** 2706 CAHILL RD STE E, Marinette, WI 54143-3886
- **Phone:** (715) 330-5570 · **Fax:** (715) 330-5369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467757757) · Data from the CMS NPPES public registry.