Individual provider Active NPI

Lauren Renee Lodholz, O.D.

  • Optometrist
  • Sturgeon Bay, WI
National Provider Identifier
1043449978
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4060-35 Issued in WI
Practice address
165 N 3Rd Ave
Sturgeon Bay, WI 54235-2415
Phone
(920) 743-2020
Fax
(920) 743-9601
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4060-35 WI Primary

Addresses

Primary practice location

165 N 3Rd Ave
Sturgeon Bay, WI 54235-2415

Mailing address

165 N 3Rd Ave
Sturgeon Bay, WI 54235-2415
Phone (920) 743-2020

Other identifiers 1

IdentifierTypeStateIssuer
7100108590MedicaidKY

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
I20250905001516 WI Practitioner - Optometry 7416003199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Door County Eye Associates, IncGroup PAC ID 5890706386, 4 clinicians

Practice addresses (Care Compare)

165 N 3Rd Ave
Sturgeon Bay, WI 54235-2415
Phone (920) 743-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HH-Ecc LLC CurrentSince Sep 1, 2018 Accepting new patients
Door County Eye Associates, Inc Optometrist CurrentSince Sep 22, 2025 Accepting new patients
Eyecare Center Optometrist PSC Optometrist CurrentSince Feb 8, 2015 Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients
Eyecare Center Optometrist PSC Optometrist Past Accepting new patients

Locations

4235 Richmond Rd
Irvine, KY 40336
Phone (606) 726-9321

148 Malabu Dr
Ste 150
Lexington, KY 40503
Phone (859) 272-2449

100 Fortress Properties St
Ste 1
London, KY 40741
Phone 6068771877114

1020 Gibson Bay Dr
Richmond, KY 40475
Phone (606) 464-8148

238 Geri Ln
Richmond, KY 40475
Phone (859) 623-2020

165 N 3rd Ave
Sturgeon Bay, WI 54235
Phone (920) 743-2020

Interoperability endpoints

  • Direct secure messaging: llodholzod@hh-ecc.direct.eyemdemr.com

Organizations & group practices 5

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1043449978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N 3RD AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352415",
            "telephone_number": "920-743-2020",
            "fax_number": "920-743-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N 3RD AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352415",
            "telephone_number": "920-743-2020",
            "fax_number": "920-743-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHOLZ",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4060-35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100108590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.