Active NPI
Linda Marie Dejmek, OD
- Optometrist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1576
- Practice address
- 509 S Chain Dr
Appleton, WI 54915-1437 - Phone
- (920) 733-3629
- Fax
- (920) 731-8089
- NPI assigned
- Apr 25, 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 | 1576 | WI | Primary |
Addresses
Primary practice location
509 S Chain Dr
Appleton, WI 54915-1437
Mailing address
509 S Chain Dr
Appleton, WI 54915-1437
Phone (920) 733-3629
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
- Indiana University - School of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 McMahon Rd
Suite 100
Neenah, WI 54956-6305
Phone (920) 722-2020
509 Chain Dr
Appleton, WI 54915-1437
Phone (920) 733-3629
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1576 | WI | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Insight Eye Care, LLC | Optometrist | Current | Accepting new patients |
| A B See Vision Therapy Centers SC | Current | Accepting new patients |
Locations
509 Chain Dr
Appleton, WI 54915
Phone (920) 235-5530
1466 Kenwood Dr
Menasha, WI 54952
Phone (920) 722-2020
1401 McMahon Rd
Ste 100
Neenah, WI 54956
Phone (920) 722-2020
251 N Sawyer St
Oshkosh, WI 54902
Phone (920) 235-5530
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.
-
- Vision Therapy Optometrist
- Neenah, WI
- NPI 1003083114
-
- Optometrist
- Oshkosh, WI
- NPI 1831398437
-
- Optometrist
- Appleton, WI
- NPI 1609330505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1144286451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S CHAIN DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151437",
"telephone_number": "920-733-3629",
"fax_number": "920-731-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S CHAIN DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151437",
"telephone_number": "920-733-3629",
"fax_number": "920-731-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJMEK",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.