Individual provider Active NPI

Maya Jillian Sigmund, OD

  • Optometrist
  • Appleton, WI
National Provider Identifier
1083336283
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3817-35 Issued in WI
Practice address
1225 W Northland Ave
Appleton, WI 54914-1416
Phone
(920) 731-2020
Fax
(920) 733-2117
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3817-35 WI Primary

Addresses

Primary practice location

1225 W Northland Ave
Appleton, WI 54914-1416

Mailing address

1225 W Northland Ave
Appleton, WI 54914-1416
Phone (612) 295-4848

Other names 1

  • Maya Jillian Pollock Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mayajpollock@gmail.com

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
I20221005001982 WI Practitioner - Optometry 4082090675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorgensen, Schulz and Associates Eyecare Center, SCGroup PAC ID 7911985528, 5 clinicians

Practice addresses (Care Compare)

1225 W Northland Ave
Appleton, WI 54914-1416
Phone (920) 731-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jorgensen, Schulz and Associates Eyecare Center, SC Optometrist CurrentSince Sep 21, 2022 Accepting new patients

Locations

1225 W Northland Ave
Appleton, WI 54914
Phone (920) 731-2020

Organizations & group practices 1

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1083336283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141416",
            "telephone_number": "612-295-4848",
            "fax_number": "920-733-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141416",
            "telephone_number": "920-731-2020",
            "fax_number": "920-733-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMUND",
        "first_name": "MAYA",
        "middle_name": "JILLIAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3817-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mayajpollock@gmail.com",
            "affiliation": "N",
            "address_1": "1225 W Northland Ave",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549141416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "POLLOCK",
            "middle_name": "JILLIAN",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.