Jeremy Kemmerling, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3397-35 Issued in WI

Practice address

14151 W National Ave
New Berlin, WI 53151-4528

Phone

(414) 541-2100

Fax

(414) 541-2377

NPI assigned

Aug 6, 2015

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

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Wisconsin LLCGroup PAC ID 5890033716, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Kenosha, WI
  • NPI 1164992996
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Racine, WI
  • NPI 1669004149
  NPD
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • West Allis, WI
  • NPI 1710632864
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Milwaukee, WI
  • NPI 1538207717
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1225414733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514528",
            "telephone_number": "414-541-2100",
            "fax_number": "414-541-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLING",
        "first_name": "JEREMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-07-15",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3397-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M. Karras, O.T.R.
• Anna Karst Anderson, DO
• Loveneet Kaur
• Brian Patrick Kelley, DO
• Joseph P Kelly, DO
• Robert A Kessler, DO
• Nancilyn K Ketola, MS, CCC-SLP
• Meghan Kiernan, LPC
• Soo Ah Kim, M.D
• Kindred Pharmacy Services

• Optometrist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.