Douglas Milton Orlich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1520 Issued in WI

Practice address

106 S. Holmen Dr.
Suite 6
Holmen, WI 54636-9467

Phone

(608) 526-1177

Fax

(608) 526-4131

NPI assigned

Oct 12, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orlich Ophthalmic Consulting S.C.

  dba Holmen Eye Clinic

  • Optometrist
  • Holmen, WI
  • NPI 1013070820
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1194815233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 STREBLOW ST.",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502084",
            "telephone_number": "608-783-9770",
            "fax_number": "608-783-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S. HOLMEN DR.",
            "address_2": "SUITE 6",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369467",
            "telephone_number": "608-526-1177",
            "fax_number": "608-526-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLICH",
        "first_name": "DOUGLAS",
        "middle_name": "MILTON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WISCONSIN",
            "identifier": "391406621014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38505100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis D Ohlrogge, MD
• Stephanie Olson
• Sarah Oostindie, M.S., CF-SLP
• Optical Fashions LTD
• Orlich Ophthalmic Consulting S.C. (Holmen Eye Clinic)
• Katherine R Parrish, OTR
• Amanda Jo Pehler
• Jacob Aaron Peterson, DC
• Samantha Pleggenkuhle
• Precision Chiropractic and Wellness

• Optometrist in Holmen, WI
• Providers in Holmen, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.