Individual provider Active NPI

Bartley J Behling, O.D.

  • Optometrist
  • Sheboygan, WI
National Provider Identifier
1013017367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2584 Issued in WI
Practice address
609 S Taylor Dr
Sheboygan, WI 53081-4206
Phone
(920) 459-8814
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2584 WI Primary

Addresses

Primary practice location

609 S Taylor Dr
Sheboygan, WI 53081-4206

Mailing address

122 Menominee Dr
Sheboygan Falls, WI 53085-1829
Phone (920) 459-8814

Other identifiers 1

IdentifierTypeStateIssuer
38611400MedicaidWI

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
I20060323000168 WI Practitioner - Optometry 1951319656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3711 S Taylor Dr
Sheboygan, WI 53081-8495
Phone (920) 459-8814

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2584WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Behling Family Eyecare, S.C. Optometrist CurrentSince Jan 28, 2004 Accepting new patients

Locations

3711 S Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-2915

609 S Taylor Dr
Sheboygan, WI 53081
Phone (920) 459-8814

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013017367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MENOMINEE DR",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851829",
            "telephone_number": "920-459-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814206",
            "telephone_number": "920-459-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHLING",
        "first_name": "BARTLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38611400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.