Individual provider Active NPI

Rachel Romenesko, OD

  • Optometrist
  • Neenah, WI
National Provider Identifier
1154634459
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
318235 Issued in WI
Practice address
250 1St St
Neenah, WI 54956-2702
Phone
(920) 722-2844
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 318235 WI Primary

Addresses

Primary practice location

250 1St St
Neenah, WI 54956-2702

Mailing address

W727 River Bend Dr
Kaukauna, WI 54130-9666
Phone (414) 803-2544

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
I20110223000394 WI Practitioner - Optometry 3779764808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 1St St
Neenah, WI 54956-2702
Phone (920) 722-2844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
318235WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Romenesko Family Eyecare LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

250 1st St
Neenah, WI 54956
Phone (920) 722-2844

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1154634459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W727 RIVER BEND DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309666",
            "telephone_number": "414-803-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 1ST ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562702",
            "telephone_number": "920-722-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMENESKO",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "318235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.