MEDICARE: HEALTHVIEW EYE CARE CENTER-MEDFORD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0474980001	OTHER	WI	DMERC GROUP #
3	10445	OTHER	WI	NVA GROUP #

General Provider Information

NPI Number	:	1164492872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHVIEW EYE CARE CENTER-MEDFORD SC

Provider Business Mailing Address
First Line	:	PO BOX 547
Second Line	:
City	:	MEDFORD
State	:	WI
Zip	:	54451-0547
Country	:	US
Telephone Number	:	715-748-2020
Fax Number	:	715-748-4565

Provider Business Practice Location Address
First Line	:	353 N 8TH ST
Second Line	:
City	:	MEDFORD
State	:	WI
Zip	:	54451-1515
Country	:	US
Telephone Number	:	715-748-2020
Fax Number	:	715-748-4565

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JULIE A THUMS
Credential	:	OD
Telephone Number	:	715-748-2020

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/02/2025

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