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

West Bend Clinic, Inc

Organization Optometrist · NPI 1235106311

West Bend Clinic, Inc is an Optometrist in West Bend, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
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

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 334-3451
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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
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
Neurology Physician Taxonomy 2084N0400X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1235106311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Blommel — Medical Director · (262) 306-6336
NPI enumeratedMarch 7, 2006
Last updated in NPPESMay 4, 2011
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

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