Steven Samuelson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2640 Issued in WI

Practice address

428 W Main St
Mount Horeb, WI 53572-1902

Phone

(608) 437-3377

Fax

(608) 437-5063

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuelson Eyecare LLCGroup PAC ID 3173644614, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samuelson Eyecare LLC

  • Optometrist
  • Mount Horeb, WI
  • NPI 1710072939
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1275519290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "428 W. MAIN STREET",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535720350",
            "telephone_number": "608-437-3377",
            "fax_number": "608-437-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721902",
            "telephone_number": "608-437-3377",
            "fax_number": "608-437-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38595200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Adam Ruchti
• Lyndsay Rupnow, COTA
• Joseph William Ryan, DOCTOR OF CHIROPRACT
• William Steven Salinger, DC
• Samuelson Eyecare LLC
• Elise Scharenbroch, RN
• Susan Carol Schaut, LPN,RCS
• Brenda J Schmitt, FNP
• Elisa Schoeberle, SLP
• Jennifer R Shafer, M.D.

• Optometrist in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.

Verify at the official NPI Registry.