Individual provider Active NPI

Kathryn Mueller, OD

  • Optometrist
  • Menomonee Falls, WI
National Provider Identifier
1174635692
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3050-035 Issued in WI
Practice address
N 195 W 18437 County Line
Menomonee Falls, WI 53051
Phone
(262) 532-0570
Fax
(262) 532-0575
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3050-035 WI Primary

Addresses

Primary practice location

N 195 W 18437 County Line
Menomonee Falls, WI 53051

Mailing address

8907 S Howell Ave
Ste 600
Oak Creek, WI 53154-4461
Phone (210) 524-6803

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
I20061213000482 WI Practitioner - Optometry 6901805233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8907 S Howell Ave
Suite 600
Oak Creek, WI 53154-4461
Phone (414) 764-2651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3050-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Eye Care LLC Optometrist CurrentSince Dec 8, 2022 Accepting new patients
Stein Optical Inc. Optometrist Past Accepting new patients

Locations

8907 S Howell Ave
Ste 600
Oak Creek, WI 53154
Phone (414) 764-2651

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1174635692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 S HOWELL AVE",
            "address_2": "STE 600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544461",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N 195 W 18437 COUNTY LINE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "262-532-0570",
            "fax_number": "262-532-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3050-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.