SSM HEALTH DAVIS DUEHR DEAN EYE CARE - JANESVILLE
NPI 1679696421
Technician/Technologist - Optician in Janesville, WI

Q: What is Dean Retail Services, Inc.'s NPI number?

The NPI number for Dean Retail Services, Inc. is 1679696421. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Ssm Health Davis Duehr Dean Eye Care - Janesville.

Q: What is Dean Retail Services, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Active since April 09, 2007

3200 E RACINE ST, SUITE 200, JANESVILLE, WI 53546(608) 371-8000(608) 371-8834 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2020, Feb 27, 2019, Feb 11, 2016 (3 updates tracked since 2016).

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About Ssm Health Davis Duehr Dean Eye Care - Janesville NPPES

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

SSM HEALTH DAVIS DUEHR DEAN EYE CARE - JANESVILLE (NPI 1679696421) is a healthcare organization registered as an optician in Janesville, Wisconsin and active in the NPI registry since April 2007. The organization lists Amy J Grinnell, Vice President-finance, as its authorized official.

NPPES Registry Identity

NPI1679696421

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameDEAN RETAIL SERVICES, INC.

Location Address3200 E RACINE ST, SUITE 200Janesville, WI 53546-2343

Mailing Address3200 E Racine St, Suite 200Janesville, WI 53546-2343 · (608) 371-8000 · Fax (608) 371-8834

Phone(608) 371-8000

Fax(608) 371-8834

Organization SubpartNo

Authorized OfficialAmy J GrinnellVice President-finance · (608) 260-3586

Enumeration DateApril 9, 2007

Last NPPES UpdateAugust 3, 20203 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1679696421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Also ListedEyewear SupplierTaxonomy 332H00000X

3200 E RACINE ST, Janesville, WI 53546

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Other Names 1

Doing Business AsSsm Health Davis Duehr Dean Eye Care - Janesville

Other Identifiers 1

Medicaid100048656WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ssm Health Davis Duehr Dean Eye Care - Janesville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWisconsinEnrollment IDO20100930001466DME · OpticianDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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.

BRITTANY M. AUSTIN PA-C

Physician Assistant (Medical)