Individual provider Active NPI

Tracy A Klein, O.D.

  • Optometrist
  • Middleton, WI
National Provider Identifier
1184630360
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2682-035 Issued in WI
Practice address
2349 Deming Way
Middleton, WI 53562-5530
Phone
(608) 824-3937
Fax
(608) 833-3326
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 2682-035 WI Primary

Addresses

Primary practice location

2349 Deming Way
Middleton, WI 53562-5530

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other identifiers 1

IdentifierTypeStateIssuer
WI2682OtherEYEMED VISION NO.

Other names 1

  • Dr. Tracy Ann Heidenreich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tklein743043@direct.uwhealth.org

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
I20050822000352 WI Practitioner - Optometry 9133159981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 2ND St
Reedsburg, WI 53959-1610
Phone (608) 524-4334

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

7974 Uw Health CT
Middleton, WI 53562-5531

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2682-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 12, 2015 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 12, 2015 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2349 Deming Way
Middleton, WI 53562
Phone (608) 824-3937

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

250 26th St
Ste 120
Prairie du Sac, WI 53578
Phone (608) 643-6060

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1184630360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625530",
            "telephone_number": "608-824-3937",
            "fax_number": "608-833-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2682-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION NO.",
            "identifier": "WI2682",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tklein743043@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "250 26th St Ste 120",
            "city": "Prairie Du Sac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535782205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "HEIDENREICH",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.