Michael J. Miskulin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2920-035 Issued in WI

Practice address

1513 S Commercial St
Neenah, WI 54956-4801

Phone

(920) 725-1566

Fax

(920) 725-8810

NPI assigned

May 15, 2007

Last updated

Sep 16, 2013By the provider in NPPES

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

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

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Vision Clinic SCGroup PAC ID 4981798030, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Vision Clinic SC

  • Optometrist
  • Neenah, WI
  • NPI 1477522324
  Medicare reassignment Care Compare group NPD
• Dr Rick Davison and Assoc, LLC

  • Optometrist
  • Appleton, WI
  • NPI 1154521144
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1275749111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-725-1566",
            "fax_number": "920-725-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-725-1566",
            "fax_number": "920-725-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKULIN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2920-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zonea Mims
• Ministry Home Care Services, LLC (Affinity Home Care Plus)
• Ministry Home Care, LLC. (Ascension at Home)
• Ministry Home Care, LLC. (Ascension at Home)
• Erika Mish, O.D.
• Emma Mitchell
• James Robert Mitchell, MD
• Christopher M Mjaanes, MD
• Joshua K Modder, MD
• Abigayle Mohnen

• Optometrist in Neenah, WI
• Providers in Neenah, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.