THIELKE FAMILY EYE CARE, LLC
NPI 1790173425
Optometrist in Saint Croix Falls, WI

NPI Status: Active since January 05, 2015

Contact Information

2212 GLACIER DR
SAINT CROIX FALLS, WI
ZIP 54024
Phone: (715) 483-2571

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  • Organization
  • Optometrist

About THIELKE FAMILY EYE CARE, LLC

This page provides the complete NPI Profile along with additional information for Thielke Family Eye Care, Llc, a provider established in Saint Croix Falls, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1790173425 assigned on January 2015. The practitioner's primary taxonomy code is 152W00000X with license number 3145-035 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Trent N. Thielke O.d. (Registered Agent)

NPI
1790173425
Provider Name
THIELKE FAMILY EYE CARE, LLC
Entity Type
Organization
Location Address
2212 GLACIER DR SAINT CROIX FALLS, WI 54024
Location Phone
(715) 483-2571
Mailing Address
911 WERT RD HUDSON, WI 54016
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2015
Last Update Date
03-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
3145-035
License State
WI
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

3183 (MN)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRENT N. THIELKE O.D.

Authorized Official Title
REGISTERED AGENT
Authorized Official Phone
(715) 808-0480

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790173425
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718027644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 7 + 6 + 4 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1790173425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093288706 ALISON M OEN PHARMD
Individual
Pharmacist2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-1499
1679171490 LISA CHRISTINA GEHRMAN PHARMD
Individual
Pharmacist2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-1499
1063163533 STACEY MCKENZIE
Individual
Pharmacist2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-1499
1881112019 NICOLE TSCHIDA PHARMD
Individual
Pharmacist2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-1499
1609569037MRS. CHRISTINE T KRARUP ABOC, NCLEC
Individual
Technician/Technologist (Optician)2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-2571
1457378523WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)2212 GLACIER DR
SAINT CROIX FALLS, WI 54024
(715) 483-1499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790173425, enumerated in the NPI registry as an "organization" on January 05, 2015

The provider is located at 2212 Glacier Dr Saint Croix Falls, Wi 54024 and the phone number is (715) 483-2571

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on January 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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