Individual provider Active NPI

Robert A Mathaus, O.D.

  • Optometrist
  • Menomonee Falls, WI
National Provider Identifier
1235194465
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2688 Issued in WI
Practice address
N85W16033 Appleton Ave
Menomonee Falls, WI 53051-3088
Phone
(262) 251-1900
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2688 WI Primary

Addresses

Primary practice location

N85W16033 Appleton Ave
Menomonee Falls, WI 53051-3088

Mailing address

16800 West Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005

Other identifiers 2

IdentifierTypeStateIssuer
38603007MedicaidWI
WI2688OtherEYEMED VISION NO,

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
I20040930000834 WI Practitioner - Optometry 6800865361 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
Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

116 E Sunset Dr
Suite 100
Waukesha, WI 53189-2200
Phone (262) 524-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Vision, LLC Optometrist CurrentSince Apr 1, 2004 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Apr 1, 2004 Accepting new patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients

Locations

351 N Casaloma Dr
Appleton, WI 54913
Phone (920) 749-1101

5530 N Port Washington Rd
Unit C
Glendale, WI 53217
Phone (414) 897-0152

2929 Milton Ave
Ste 140
Janesville, WI 53545
Phone (608) 756-0728

5725 75th St
Kenosha, WI 53142
Phone (262) 694-5553

5505 Odana Rd
Madison, WI 53719
Phone (608) 277-9393

N85W16033 Appleton Ave
Menomonee Falls, WI 53051
Phone (262) 251-1900

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

3905 Douglas Ave
Racine, WI 53402
Phone (262) 639-5360

2229 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 458-9301

116 E Sunset Dr
Ste 100
Waukesha, WI 53189
Phone (262) 524-1130

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1235194465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 WEST CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N85W16033 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513088",
            "telephone_number": "262-251-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAUS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38603007",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION NO,",
            "identifier": "WI2688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.