Individual provider Active NPI

Robert Kessen, O.D.

  • Optometrist
  • Wausau, WI
National Provider Identifier
1093777815
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2629 Issued in WI
Practice address
2100 Stewart Ave
Suite 120
Wausau, WI 54401-1700
Phone
(715) 845-1988
NPI assigned
Apr 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 2629 WI Primary

Addresses

Primary practice location

2100 Stewart Ave
Suite 120
Wausau, WI 54401-1700

Mailing address

3001 Rib Mountain Way
Wausau, WI 54401-9279
Phone (715) 845-1988

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
I20130618000811 WI Practitioner - Optometry 4587803721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stine Eye Center, LLCGroup PAC ID 1759357718, 5 clinicians

Practice addresses (Care Compare)

4009 Community Ctr Dr
Suite 100
Weston, WI 54476-4139
Phone (715) 241-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2629WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stine Eye Center, LLC Optometrist CurrentSince Apr 15, 2013 Accepting new patients
Stewart Optical LLC Past Accepting new patients
Stewart Avenue Optical, Inc. Past Accepting new patients

Locations

4009 Community Center Dr
Weston, WI 54476
Phone (715) 241-2020

4009 Community Center Dr
#100
Weston, WI 54476
Phone (715) 241-2020

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, 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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093777815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 RIB MOUNTAIN WAY",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019279",
            "telephone_number": "715-845-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STEWART AVE",
            "address_2": "SUITE 120",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011700",
            "telephone_number": "715-845-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSEN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.