Individual provider Active NPI

Brian L Schroedl, O.D.

  • Optometrist
  • Beaver Dam, WI
National Provider Identifier
1255387684
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2205 Issued in WI
Practice address
822 Park Ave
Beaver Dam, WI 53916-2266
Phone
(920) 887-3791
NPI assigned
May 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2205 WI Primary

Addresses

Primary practice location

822 Park Ave
Beaver Dam, WI 53916-2266

Mailing address

889 Warner St
Columbus, WI 53925-1263
Phone (920) 623-1118

Other identifiers 1

IdentifierTypeStateIssuer
12055900MedicaidWI

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
I20060718000236 WI Practitioner - Optometry 2769495639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2205WIMDAthletic Trainer
2208WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shopko Stores Operating Co LLC Past Accepting new patients

Locations

820 Park Ave
Ste I
Beaver Dam, WI 53916
Phone (920) 887-3791

822 Park Ave
Beaver Dam, WI 53916
Phone (920) 887-3791

1640 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-2171

2029 Humes Rd
Janesville, WI 53545
Phone (608) 754-7411

3868 E Washington Ave
Ste F
Madison, WI 53704
Phone (608) 246-2161

3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244

1640 Appleton Rd
Menasha, WI 54952
Phone (920) 725-3752

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

2921 New Pinery Rd
Ste 2
Portage, WI 53901
Phone (608) 686-7011

2480 State Road 138
#200
Stoughton, WI 53589
Phone (608) 889-1047

631 Hometown Cir
Ste 106
Verona, WI 53593
Phone (608) 653-6218

1500 S Church St
Watertown, WI 53094
Phone (920) 261-9225

701 S Church St
Watertown, WI 53094
Phone (920) 261-1920

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255387684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 WARNER ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251263",
            "telephone_number": "920-623-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162266",
            "telephone_number": "920-887-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDL",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12055900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.