Optom-Eyes Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOM-EYES CARE LLC

Practice address

15569 Railroad St Ste 301
Hayward, WI 54843-5707

Phone

(715) 634-8616

Fax

(715) 934-4759

NPI assigned

Jun 11, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mikeal R Ostrander, ODNPI 1063859130

Title

Optometrist/Manager

Phone

(715) 651-1944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hayward Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikeal Robert Ostrander, O.D.

  • Optometrist
  • Hayward, WI
  • NPI 1063859130
  Medicare reassignment Care Compare group NPD Authorized official
• Beth Heinz, OD

  • Optometrist
  • Hayward, WI
  • NPI 1023992435
  Medicare reassignment Care Compare group NPD
• Timothy J Frederiksen, OD

  • Optometrist
  • Hayward, WI
  • NPI 1649262478
  NPD
• Leif E Erickson, OD

  • Optometrist
  • Hayward, WI
  • NPI 1427148485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1003484601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N901 COUNTY HIGHWAY MD",
            "city": "SARONA",
            "state": "WI",
            "postal_code": "548709259",
            "telephone_number": "715-651-1944",
            "fax_number": "715-934-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15569 RAILROAD ST STE 301",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435707",
            "telephone_number": "715-634-8616",
            "fax_number": "715-934-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOM-EYES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "MIKEAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST/MANAGER",
        "authorized_official_telephone_number": "715-651-1944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1063859130",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayward Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwoods Physical Therapy Clinic & Fitness Center Inc
• Dorothy Agnes Novak, M.D.
• NSH Valley of Hayward LLC
• Sarah L Olson, MA, LPC
• Ooboodash Cares Wellness Services LLC
• Mikeal Robert Ostrander, O.D.
• Angela Pank, APNP
• Susan Kay Pearson
• Leah Pechacek
• Darren William Perttu, M.D.

• All providers in Hayward, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.