Individual provider Active NPI

Kristen E Ziegler, OD

  • Optometrist
  • New Berlin, WI
National Provider Identifier
1275940603
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3356 Issued in WI
Practice address
14151 W National Ave
New Berlin, WI 53151-4528
Phone
(414) 541-2100
Fax
(414) 541-2377
NPI assigned
Jul 17, 2014
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010830 IL
Optometrist 152W00000X 3356 WI Primary

Addresses

Primary practice location

14151 W National Ave
New Berlin, WI 53151-4528

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611003422 WI Practitioner - Ophthalmology 9537470828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14151 W National Ave
New Berlin, WI 53151-4528
Phone (414) 541-2100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010830ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Jul 7, 2020 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients

Locations

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

15300 Watertown Plank Rd
Elm Grove, WI 53122
Phone (262) 786-9630

120 Martin Dr
Fredonia, WI 53021
Phone (262) 692-9000

2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020

10800 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-4848

8693 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 351-2020

14151 W National Ave
New Berlin, WI 53151
Phone (414) 541-2100

2505 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 453-7020

2400 S 102nd St
West Allis, WI 53227
Phone (414) 541-2100

Organizations & group practices 4

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1275940603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514528",
            "telephone_number": "414-541-2100",
            "fax_number": "414-541-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010830",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.