Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1 Vision SC

Organization Optometrist · NPI 1033197397

1 Vision SC is an Optometrist in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

150A County Rd B
Shawano, WI 54166-7072
Phone: (715) 526-3163
Fax: (715) 526-4019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2324 (WI)

Record details

NPI number1033197397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Peterson — O.D. - President · (715) 526-3163
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing addressPo Box 513, Shawano, WI 54166-0513

Other providers in Shawano