Individual provider Active NPI

Donna M Belanger, OD

  • Optometrist
  • Greenfield, WI
National Provider Identifier
1295791911
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2534 Issued in WI
Practice address
4818 S 76TH St
Ste 1
Greenfield, WI 53220
Phone
(414) 431-0385
Fax
(414) 431-0386
NPI assigned
Apr 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2534 WI Primary

Addresses

Primary practice location

4818 S 76TH St
Ste 1
Greenfield, WI 53220

Mailing address

16800 West Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005

Other identifiers 1

IdentifierTypeStateIssuer
WI2534OtherEYEMED VISION NO.

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
I20050822000545 WI Practitioner - Optometry 7214967090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

5530 N Port Washington Rd
Unit C
Glendale, WI 53217-4920
Phone (414) 897-0152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2534WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients

Locations

351 N Casaloma Dr
Appleton, WI 54913
Phone (920) 749-1101

5530 N Port Washington Rd
Unit C
Glendale, WI 53217
Phone (414) 897-0152

4818 S 76th St
Ste 1
Greenfield, WI 53220
Phone (414) 431-0385

2929 Milton Ave
Ste 140
Janesville, WI 53545
Phone (608) 756-0728

5725 75th St
Kenosha, WI 53142
Phone (262) 694-5553

5505 Odana Rd
Madison, WI 53719
Phone (608) 277-9393

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

3905 Douglas Ave
Racine, WI 53402
Phone (262) 639-5360

2229 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 458-9301

116 E Sunset Dr
Ste 100
Waukesha, WI 53189
Phone (262) 524-1130

Organizations & group practices 10

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295791911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 WEST CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 S 76TH ST",
            "address_2": "STE 1",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-431-0385",
            "fax_number": "414-431-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION NO.",
            "identifier": "WI2534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.