Individual provider Active NPI

Elizabeth Roginski, O.D.

  • Optometrist
  • Shorewood, WI
National Provider Identifier
1285999516
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3276-35 Issued in WI
Practice address
4000 N Oakland Ave
Shorewood, WI 53211-2355
Phone
(414) 961-7700
NPI assigned
Jul 12, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3276-35 WI Primary

Addresses

Primary practice location

4000 N Oakland Ave
Shorewood, WI 53211-2355

Mailing address

3707 N Plainfield Ave
Chicago, IL 60634-1920

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130222000056 WI Practitioner - Optometry 4082869144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 22, 2012 Accepting new patients
Visionworks, Inc CurrentSince Dec 22, 2012 Accepting new patients

Locations

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

7425 W Appleton Ave
Milwaukee, WI 53216
Phone (414) 464-0996

4000 N Oakland Ave
Shorewood, WI 53211
Phone (414) 961-7700

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1285999516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N PLAINFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112355",
            "telephone_number": "414-961-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGINSKI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3276-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

Verify at the official NPI Registry.