Individual provider Active NPI

Tessa Lynn Sokol, O.D.

  • Optometrist
  • Madison, WI
National Provider Identifier
1073706529
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3089 Issued in WI
Practice address
2000 Atwood Ave
Madison, WI 53704-5325
Phone
(608) 473-5947
NPI assigned
Aug 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002414 GA
Optometrist 152W00000X 3089 WI Primary

Addresses

Primary practice location

2000 Atwood Ave
Madison, WI 53704-5325

Mailing address

2000 Atwood Ave
Madison, WI 53704-5325
Phone (608) 473-5947

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
I20100813000824 WI Practitioner - Optometry 6103902879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokol Advanced EyecareGroup PAC ID 8022269760, 2 clinicians

Practice addresses (Care Compare)

2000 Atwood Ave
Madison, WI 53704-5325
Phone (608) 473-5947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002414GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sokol Advanced Eyecare CurrentSince Sep 10, 2012 Accepting new patients
Vincent R Facchiano & Assoc SC Optometrist Past Accepting new patients
Dalton Eyecare Professionals, PC Optometrist Past Accepting new patients

Locations

2000 Atwood Ave
Madison, WI 53704
Phone (608) 473-5947

1 W Towne Mall
Madison, WI 53719
Phone (608) 829-2040

Organizations & group practices 3

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1073706529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ATWOOD AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045325",
            "telephone_number": "608-473-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ATWOOD AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045325",
            "telephone_number": "608-473-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "TESSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2023-02-20",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002414",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.