Active NPI
Pinnacle Cataract and Laser Institute LLC
- Ambulatory Surgical Clinic/Center
- Appleton, WI
National Provider Identifier
1275513806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PINNACLE CATARACT AND LASER INSTITUTE LLC
- Practice address
- 4648 W Spencer St
Appleton, WI 54914-9106 - Phone
- (920) 731-7557
- Fax
- (920) 731-7558
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael P Vrabec, M.D.
- Title
- Co-Executive Director
- Phone
- (920) 731-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4648 W Spencer St
Appleton, WI 54914-9106
Mailing address
4648 W Spencer St
Appleton, WI 54914-9106
Phone (920) 731-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41914200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050428000330 | WI | Part B Supplier - Ambulatory Surgical Center | 9234178351 | Practice locations: Appleton, WI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Pinnacle Cataract and Laser Institute LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1054611 | Pinnacle Cataract & Laser Institute | Certificate of waiver | May 24, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Appleton, WI
- NPI 1033373600
-
- Ophthalmology Physician
- Appleton, WI
- NPI 1750319448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286755200000",
"number": "1275513806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4648 W SPENCER ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549149106",
"telephone_number": "920-731-7557",
"fax_number": "920-731-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4648 W SPENCER ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549149106",
"telephone_number": "920-731-7557",
"fax_number": "920-731-7558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE CATARACT AND LASER INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2010-10-11",
"status": "A",
"authorized_official_last_name": "VRABEC",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "920-731-7557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41914200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.