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

Stateline Vision Center LLC

Organization Optometrist · NPI 1104219039

Stateline Vision Center LLC is an Optometrist in Monroe, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 N 18th Ave Ste 105
Monroe, WI 53566-1482
Phone: (920) 216-3133
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3082 (WI)

Record details

NPI number1104219039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Josephs — Sole Proprietor · (608) 325-7200
NPI enumeratedMarch 17, 2015
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing address250 N 18th Ave Ste 105, Monroe, WI 53566-1482

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