Yanna T Kisala, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3137-035 Issued in WI

Practice address

203A E Sunset Dr
Waukesha, WI 53189-7603

Phone

(262) 524-1130

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stein Optical Inc.

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)
• Vincent R Facchiano & Assoc SC

  • Optometrist
  • Madison, WI
  • NPI 1942211925
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1013164292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203A E SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897603",
            "telephone_number": "262-524-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A E SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897603",
            "telephone_number": "262-524-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISALA",
        "first_name": "YANNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3137-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Kinjerski, APNP
• Carol L Kinney, MS, LPC
• Ray Woodson Kinney, M.S.
• Rebecca M Kinnunen, LISW-S
• Sophia Kipp, MS
• Judith Kisicki, M.D.
• Noelle C Kisting, MD
• Athena Kjell
• Kathleen Kay Klaas, M.D.
• Mark Alan Klaas, M.D.

• Optometrist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.