Individual provider Active NPI

Christine Ann Ward, O.D.

  • Optometrist
  • Monroe, WI
National Provider Identifier
1013145952
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3151-35 Issued in WI
Practice address
405 W 8TH St
Monroe, WI 53566-1063
Phone
(608) 328-3333
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3151-35 WI Primary

Addresses

Primary practice location

405 W 8TH St
Monroe, WI 53566-1063

Mailing address

405 W 8TH St
Monroe, WI 53566-1063
Phone (608) 328-3333

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
I20091223000015 WI Practitioner - Optometry 1759421704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

110 8TH St
Monroe, WI 53566-1050
Phone (608) 328-3333

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3151-35WIMDOptometrist

Practice roles

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

Locations

820 Park Ave
Ste I
Beaver Dam, WI 53916
Phone (920) 887-3791

1640 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-2171

2029 Humes Rd
Janesville, WI 53545
Phone (608) 754-7411

3868 E Washington Ave
Ste F
Madison, WI 53704
Phone (608) 246-2161

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

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

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

405 W 8th St
Monroe, WI 53566
Phone (608) 328-3310

2480 State Road 138
#200
Stoughton, WI 53589
Phone (608) 889-1047

631 Hometown Cir
Ste 106
Verona, WI 53593
Phone (608) 653-6218

1500 S Church St
Watertown, WI 53094
Phone (920) 261-9225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1013145952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 8TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661063",
            "telephone_number": "608-328-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 8TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661063",
            "telephone_number": "608-328-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3151-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.