Individual provider Active NPI

Kristin Marie McArdle, OD

  • Optometrist
  • Verona, WI
National Provider Identifier
1255993036
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3566-35 Issued in WI
Practice address
881 W Verona Ave Ste C
Verona, WI 53593-1484
Phone
(608) 502-0919
Fax
(608) 502-0918
NPI assigned
Jul 2, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3566-35 WI Primary

Addresses

Primary practice location

881 W Verona Ave Ste C
Verona, WI 53593-1484

Mailing address

881 W Verona Ave Ste C
Verona, WI 53593-1484
Phone (608) 502-0919

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
I20190822003738 WI Practitioner - Optometry 0446588842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

881 W Verona Ave
Suite C
Verona, WI 53593-1484
Phone (608) 502-0919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar River Eye Care, LLC Optometrist CurrentSince Jul 14, 2025 Accepting new patients

Locations

881 W Verona Ave
Ste C
Verona, WI 53593
Phone (608) 502-0919

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1255993036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 W VERONA AVE STE C",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931484",
            "telephone_number": "608-502-0919",
            "fax_number": "608-502-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 W VERONA AVE STE C",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931484",
            "telephone_number": "608-502-0919",
            "fax_number": "608-502-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARDLE",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3566-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.