Individual provider Active NPI

Heather Marie Motisi, OD

  • Optometrist
  • New Berlin, WI
National Provider Identifier
1245594274
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
327235 Issued in WI
Practice address
15441 W National Ave
New Berlin, WI 53151-5156
Phone
(262) 789-6929
NPI assigned
Jun 25, 2012
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 327235 WI Primary

Addresses

Primary practice location

15441 W National Ave
New Berlin, WI 53151-5156

Mailing address

15441 W National Avenue
New Berlin, WI 53151
Phone (262) 789-6929

Other names 1

  • Heather Marie Motisi-Navarro Former name

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
I20150304001662 WI Practitioner - Optometry 3779809090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Site Vision Care Center IncGroup PAC ID 1456253558, 2 clinicians

Practice addresses (Care Compare)

15441 W National Ave
New Berlin, WI 53151-5156
Phone (262) 789-6929

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
327235WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site Vision Care Center Inc Optometrist CurrentSince May 18, 2012 Accepting new patients
Valley Vision Clinic SC Optometrist PastSince May 18, 2012 Accepting new patients

Locations

15441 W National Ave
New Berlin, WI 53151
Phone (262) 789-6929

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1245594274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15441 W NATIONAL AVENUE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "262-789-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15441 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515156",
            "telephone_number": "262-789-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTISI",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "327235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MOTISI-NAVARRO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.