Individual provider Active NPI

Laura J Rau, O.D.

  • Optometrist
  • Fond Du Lac, WI
National Provider Identifier
1013994524
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2026 Issued in WI
Practice address
24 Deneveu Cir
Fond Du Lac, WI 54935-5457
Phone
(920) 924-9585
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2026 WI Primary

Addresses

Primary practice location

24 Deneveu Cir
Fond Du Lac, WI 54935-5457

Mailing address

24 Deneveu Cir
Fond Du Lac, WI 54935-5457
Phone (920) 924-9585

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
I20101015001301 WI Practitioner - Optometry 1355534876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

1073 E Johnson St
Fond Du Lac, WI 54935-8919
Phone (920) 375-5483

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
2026WIMDOptometrist

Practice roles

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

Locations

3525 E Calumet St
Ste 1400
Appleton, WI 54915
Phone (920) 788-4114

1490 Oneida St
Appleton, WI 54915
Phone (920) 725-3752

1033 W Northland Ave
Ste B
Appleton, WI 54914
Phone (920) 731-4511

1073 E Johnson St
Fond du Lac, WI 54935
Phone (920) 375-5483

N6663 Rolling Meadows Dr
Ste I
Fond du Lac, WI 54937
Phone (920) 921-8290

2360 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 468-4642

2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511

5722 S 108th St
Hales Corners, WI 53130
Phone (414) 786-2941

1595 E Sumner St
Ste 108
Hartford, WI 53027
Phone (262) 709-8211

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

1154 Westowne Dr
Neenah, WI 54956
Phone (920) 751-0275

1212 S Koeller St
Oshkosh, WI 54902
Phone (920) 426-5730

1810 Jackson St
Oshkosh, WI 54901
Phone (920) 385-1262

4097 Highway 28
Unit 2
Sheboygan Falls, WI 53085
Phone (920) 458-5757

2314 Lineville Rd
Ste 104
Suamico, WI 54313
Phone (920) 434-5845

1745 S Main St
Unit 7
West Bend, WI 53095
Phone (262) 334-7077

Organizations & group practices 6

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1013994524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DENEVEU CIR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355457",
            "telephone_number": "920-924-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DENEVEU CIR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355457",
            "telephone_number": "920-924-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.