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

Beaver Dam Community Hospitals Inc

Organization Optician · NPI 1114675089

Beaver Dam Community Hospitals Inc is an Optician in Waupun, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

140 Gateway Dr
Waupun, WI 53963-2276
Phone: (715) 324-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1114675089
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMarshfield Clinic Health System Inc
Authorized official Jolyn Munson — Vp Revenue Cycle Operations · (605) 328-6585
Other names Marshfield Medical Center - Beaver Dam Waupun Eye Clinic; Marshfield Medical Center - Beaver Dam Waupun Eye Clinic
NPI enumeratedMarch 10, 2022
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1000 N Oak Ave, Provider Enrollment Services - Shp Fl 2, Marshfield, WI 54449-5703

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