Active NPI
Griebenow Eyecare, S.C.
- Optometrist
- Clintonville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1666
- Legal business name
- GRIEBENOW EYECARE, S.C.
- Practice address
- 45 10TH St.
Clintonville, WI 54929 - Phone
- (715) 823-5112
- Fax
- (715) 823-5959
- NPI assigned
- Jul 7, 2009
- Organization subpart
- Yes
- Parent organization
- GRIEBENOW EYECARE, S.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Sylte
- Title
- Business Manager
- Phone
- (920) 982-3711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1666 | WI | Primary |
Addresses
Primary practice location
45 10TH St.
Clintonville, WI 54929
Mailing address
PO Box 230
New London, WI 54961-0230
Phone (920) 982-3711
Other names 1
- Griebenow Eyecare Clintonville
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clintonville@griebenoweyecare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2315438 | Griebenow Eyecare | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider Directory- Part of
- Griebenow Eyecare SC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- New London, WI
- NPI 1366599433
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Clintonville, WI
- NPI 1922514447
-
- Optometrist
- New London, WI
- NPI 1770712903
-
- Optometrist
- New London, WI
- NPI 1992234595
-
- Optometrist
- Menasha, WI
- NPI 1205829942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1003045402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549610230",
"telephone_number": "920-982-3711",
"fax_number": "715-823-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 10TH ST.",
"city": "CLINTONVILLE",
"state": "WI",
"postal_code": "54929",
"telephone_number": "715-823-5112",
"fax_number": "715-823-5959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIEBENOW EYECARE, S.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GRIEBENOW EYECARE, S.C.",
"enumeration_date": "2009-07-07",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "SYLTE",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "920-982-3711"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "1666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clintonville@griebenoweyecare.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "45 10th St.",
"city": "Clintonville",
"state": "WI",
"country_code": "US",
"postal_code": "54929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Griebenow Eyecare Clintonville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Griebenow Eyecare Clintonville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clintonville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.