Individual provider Active NPI

Bruce A Savin, O.D.

  • Optometrist
  • Racine, WI
National Provider Identifier
1013999457
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1551 Issued in WI
Practice address
1421 Washington Ave
Racine, WI 53403-2254
Phone
(262) 637-7494
NPI assigned
Nov 18, 2005
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1551 WI Primary
Corneal and Contact Management Optometrist 152WC0802X 1551 WI
Sports Vision Optometrist 152WS0006X 1551 WI

Addresses

Primary practice location

1421 Washington Ave
Racine, WI 53403-2254

Mailing address

1421 Washington Ave
Racine, WI 53403-2254
Phone (262) 637-7494

Other identifiers 1

IdentifierTypeStateIssuer
38515400MedicaidWI

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
I20101220000082 WI Practitioner - Optometry 7113007667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Clinic Dr. Savin and AssociatesGroup PAC ID 3870683238, 3 clinicians

Practice addresses (Care Compare)

1421 Washington Ave
Racine, WI 53403-2254
Phone (262) 637-7494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Therapy Center of Wisconsin, LLC PastSince Jan 8, 2008 Accepting new patients

Organizations & group practices 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1013999457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032254",
            "telephone_number": "262-637-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032254",
            "telephone_number": "262-637-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVIN",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1551",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WI",
            "license": "1551",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "WI",
            "license": "1551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38515400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.