Active NPI
Julie O'Leary, O.D.
- Optometrist
- Plymouth, WI
National Provider Identifier
1124110812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2726-035
- Practice address
- 428 Walton Dr.
Plymouth, WI 53073 - Phone
- (920) 892-2748
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2726-035 | WI | Primary |
Addresses
Primary practice location
428 Walton Dr.
Plymouth, WI 53073
Mailing address
640 Treehouse Parkway
Kohler, WI 53044
Phone (920) 892-2748
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4097 Hwy 28
Unit 2
Sheboygan Falls, WI 53085-2848
Phone (920) 458-5757
6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2726-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Behling Family Eyecare, S.C. | Optometrist | Past | Accepting new patients |
| Shopko Stores Operating Co LLC | Past | Accepting new patients |
Locations
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
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.
-
- Optometrist
- Sheboygan, WI
- NPI 1831169648
-
- Community/Retail Pharmacy
- Eau Claire, WI
- NPI 1720034176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1124110812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 TREEHOUSE PARKWAY",
"city": "KOHLER",
"state": "WI",
"postal_code": "53044",
"telephone_number": "920-892-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 WALTON DR.",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "53073",
"telephone_number": "920-892-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2726-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.