Louise E Marquardt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2552 - 035 Issued in WI

Practice address

4155 N Galaxy Dr Ste 101
Appleton, WI 54913-2728

Phone

(920) 993-0790

Fax

(920) 993-0791

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Louise E Kallaak Former name

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

Practice roles

Locations

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.

• Luxottica of America Inc

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1174622583
  Medicare reassignment NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Madison, WI
  • NPI 1538213848
  NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1194873950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N333 RIDGEWOOD CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549158107",
            "telephone_number": "920-750-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N GALAXY DR STE 101",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549132728",
            "telephone_number": "920-993-0790",
            "fax_number": "920-993-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138605",
            "country_code": "US",
            "telephone_number": "920-730-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "LOUISE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2552 - 035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "KALLAAK",
            "middle_name": "E",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Marmor
• Mark R Marnocha, PHD
• Patricia A Marohl, COTA
• Shannon Lori Marohl
• James Edward Marotz, D.O.
• Anthony J Marquis, M.D.
• Stephen J Marquis, MD
• Rebecca Lynne Marrazzo, LPC, SACIT
• Jennifer M Marshall, PAC
• Kay Ellen Marsicek, BSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.