Individual provider Active NPI

Erin Marie Drees, OD

  • Optometrist
  • Appleton, WI
National Provider Identifier
1245849660
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3637-35 Issued in WI
Practice address
3525 E Calumet St
Appleton, WI 54915-4167
Phone
(920) 788-4114
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3637-35 WI Primary

Addresses

Primary practice location

3525 E Calumet St
Appleton, WI 54915-4167

Mailing address

530 Otto Way
Elkhart Lake, WI 53020-1964
Phone (920) 287-4164

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
I20200821002657 WI Practitioner - Optometry 0042636904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of New Holstein LLCGroup PAC ID 7517916273, 4 clinicians

Practice addresses (Care Compare)

3144 Wilgus Ave
Sheboygan, WI 53081-3045
Phone (920) 457-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3637-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of New Holstein, LLC Optometrist CurrentSince Oct 18, 2023 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients
Valley Eye Associates Optometrist PastSince Oct 18, 2023 Accepting new patients
Shoptikal LLC Optometrist PastSince Aug 2, 2020 Accepting new patients

Locations

500 Fremont St
Kiel, WI 53042
Phone (920) 894-2727

1405 Milwaukee Dr
New Holstein, WI 53061
Phone (920) 898-5531

3144 Wilgus Ave
Sheboygan, WI 53081
Phone (920) 451-1400

Organizations & group practices 4

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1245849660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 OTTO WAY",
            "city": "ELKHART LAKE",
            "state": "WI",
            "postal_code": "530201964",
            "telephone_number": "920-287-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154167",
            "telephone_number": "920-788-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREES",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3637-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.