Individual provider Active NPI

Scott Francis Bruneau, O.D.

  • Optometrist
  • Wisconsin Rapids, WI
National Provider Identifier
1003868621
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2719-035 Issued in WI
Practice address
1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483
Phone
(715) 423-1340
Fax
(715) 423-1444
NPI assigned
May 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2719-035 WI Primary

Addresses

Primary practice location

1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483

Mailing address

1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483
Phone (715) 423-1340

Other identifiers 1

IdentifierTypeStateIssuer
38606200MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000192 WI Practitioner - Optometry 2466464128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

4551 8TH St S
Suite 102
Wisconsin Rapids, WI 54494-6781
Phone (715) 423-1340

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2719-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shopko Stores Operating Co LLC Past Accepting new patients

Locations

3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244

717 S Central Ave
Marshfield, WI 54449
Phone (715) 387-8608

1640 Appleton Rd
Menasha, WI 54952
Phone (920) 725-3752

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

174 Crossroads Dr
Plover, WI 54467
Phone (715) 342-9634

1045 E Grand Ave
Rothschild, WI 54474
Phone (715) 359-0649

101 N Western Ave
Ste 101
Waupaca, WI 54981
Phone (534) 400-2068

1100 E Riverview Expy
Wisconsin Rapids, WI 54494
Phone (715) 421-1750

4551 8th St S
Ste 102
Wisconsin Rapids, WI 54494
Phone (715) 423-1340

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003868621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-423-1340",
            "fax_number": "715-423-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-423-1340",
            "fax_number": "715-423-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEAU",
        "first_name": "SCOTT",
        "middle_name": "FRANCIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2719-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38606200",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.