Active NPI
Daniel L. Feuling, O.D.
- Optometrist
- Beaver Dam, WI
National Provider Identifier
1043293772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1621-035
- Practice address
- 207 N Spring St
Beaver Dam, WI 53916-2115 - Phone
- (920) 887-8831
- Fax
- (920) 887-8862
- NPI assigned
- Nov 28, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1621-035 | WI | Primary |
Addresses
Primary practice location
207 N Spring St
Beaver Dam, WI 53916-2115
Mailing address
207 N Spring St
Beaver Dam, WI 53916-2115
Phone (920) 887-8831
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051001 | Other | WI | 051001 |
| 511018 | Other | WI | NVA |
| 38506200 | Medicaid | WI | |
| 39130005 | Other | WI | UNITY |
| W101621 | Other | WI | VBA |
| 1029530 | Other | WI | PHYSICIANS PLUS |
| WI1621 | Other | WI | ECPA |
| 0809570001 | Other | WI | REGION B DMERC |
| 391309995-01 | Other | WI | JOHN DEERE HEALTH CARE |
| 5605 | Other | WI | DAVIS VISION |
| WI1621 | Other | WI | EYEMED |
| 00009274 | Other | WI | VCA |
| 1621-035 | Other | WI | VSP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1621-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Seek, LLC | Optometrist | Past | 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": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043293772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N SPRING ST",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162115",
"telephone_number": "920-887-8831",
"fax_number": "920-887-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N SPRING ST",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162115",
"telephone_number": "920-887-8831",
"fax_number": "920-887-8862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEULING",
"first_name": "DANIEL",
"middle_name": "L.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1621-035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "051001",
"identifier": "051001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "511018",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38506200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY",
"identifier": "39130005",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "W101621",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "1029530",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPA",
"identifier": "WI1621",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGION B DMERC",
"identifier": "0809570001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH CARE",
"identifier": "391309995-01",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "5605",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "WI1621",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VCA",
"identifier": "00009274",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "1621-035",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.