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

Agnesian Healthcare Inc

Organization Optometrist · NPI 1730162991

Agnesian Healthcare Inc is an Optometrist in Fond Du Lac, Wisconsin. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 923-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Optometrist Taxonomy 152W00000X
Anesthesiology Physician Taxonomy 207L00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Podiatrist Taxonomy 213E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1730162991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Grinnell — Vp-Finance, Cfo · (608) 260-3586
Other names Ssm Health Fond Du Lac Regional Clinic
NPI enumeratedNovember 22, 2005
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address1808 W Beltline Hwy, Madison, WI 53713-2334

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