Active NPI
Yoseph Sarrafzadeh, O.D.
- Optometrist
- Kenosha, WI
National Provider Identifier
1265729222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3246-35
- Practice address
- 5725 75TH St
Kenosha, WI 53142-3603 - Phone
- (262) 694-5553
- Fax
- (262) 923-7621
- NPI assigned
- Jun 28, 2011
- Last updated
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14199 | CA | |
| Optometrist | 152W00000X | 3246-35 | WI | Primary |
Addresses
Primary practice location
5725 75TH St
Kenosha, WI 53142-3603
Mailing address
16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005
Other names 1
- Joseph Sarrafzadeh
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5530 N Port Washington Rd
Unit C
Glendale, WI 53217-4920
Phone (414) 897-0152
5725 75TH St
Kenosha, WI 53142-3603
Phone (262) 694-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3246-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
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": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1265729222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 W CLEVELAND AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531513533",
"telephone_number": "262-432-2005",
"fax_number": "262-432-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423603",
"telephone_number": "262-694-5553",
"fax_number": "262-923-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARRAFZADEH",
"first_name": "YOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14199",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3246-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "SARRAFZADEH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.