MEDICARE: TARPENNING & ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	152W00000X	Optometrist
2	332H00000X	Eyewear Supplier
3	332H00000X	Eyewear Supplier	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

General Provider Information

NPI Number	:	1184727729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARPENNING & ASSOCIATES

Provider Business Mailing Address
First Line	:	2900 S MAIN ST
Second Line	:
City	:	RICE LAKE
State	:	WI
Zip	:	54868
Country	:	US
Telephone Number	:	715-234-1511
Fax Number	:	715-434-1513

Provider Business Practice Location Address
First Line	:	2900 S MAIN ST
Second Line	:
City	:	RICE LAKE
State	:	WI
Zip	:	54868
Country	:	US
Telephone Number	:	715-234-1511
Fax Number	:	715-434-1513

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. VICKI SUE HEINSOHN
Credential	:
Telephone Number	:	715-234-1511

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/21/2022

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