Individual provider Active NPI

Nicholas W. Veith, M.D.

  • Ophthalmology Physician
  • Elkhorn, WI
National Provider Identifier
1144229386
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18321-020 Issued in WI
Practice address
1311 South Lincoln Street
Elkhorn, WI 53121
Phone
(262) 723-4600
Fax
(262) 723-4710
NPI assigned
Jul 19, 2005
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18321-020 WI Primary

Addresses

Primary practice location

1311 South Lincoln Street
Elkhorn, WI 53121

Mailing address

1311 South Lincoln Street
Elkhorn, WI 53121
Phone (262) 723-4600

Other identifiers 1

IdentifierTypeStateIssuer
31205600MedicaidWI

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000304 WI Practitioner - Ophthalmology 5799823688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18321-020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons SC Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients
Eye Physicians & Surgeons SC Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients

Locations

709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020

1311 S Lincoln St
Elkhorn, WI 53121
Phone (262) 723-4600

Organizations & group practices 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1144229386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SOUTH LINCOLN STREET",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 SOUTH LINCOLN STREET",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEITH",
        "first_name": "NICHOLAS",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "18321-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31205600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.