1 Vision S.C.
1 Vision S.C. is a healthcare organization registered as Optometrist in Shawano, WI, holding Type 2 (organization) NPI 1033197397 since 2006. The authorized official on file is Thomas Peterson, O.D. - President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033197397 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 1 Vision S.C. |
| Practice address | 150A COUNTY RD B, Shawano, WI, 54166 |
| Phone | 7155263163 |
| Fax | 7155264019 |
| Enumeration date | 2006-01-06 |
| Last updated in NPPES | 2022-05-17 |
Authorized official
| Name | Thomas Peterson |
|---|---|
| Title | O.D. - President |
| Phone | 7155263163 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 2324 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410033786 | Other | WI | RAILROAD MEDICARE |
| 38578000 | Medicaid | WI | — |
Copy-ready billing details
Provider: 1 Vision S.C. NPI: 1033197397 Taxonomy: 152W00000X (Optometrist) Address: 150A COUNTY RD B, Shawano, WI, 54166
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821063009 | Roxanne Doyle Keszo | Individual | Optometrist | Shawano, WI |
| 1447489661 | Kavit Beyersdorf | Individual | Optometrist | Shawano, WI |
Verify this record
Cross-check NPI 1033197397 against the authoritative CMS record: view 1 Vision S.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is 1 Vision S.C.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-17.