Haley Riesterer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3630-35 Issued in WI

Practice address

1745 S Main St Unit 7
West Bend, WI 53095-4937

Phone

(262) 334-7077

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Haley Brown Former name

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  • Eyewear Supplier
  • West Bend, WI
  • NPI 1922664358

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• America'S Best Contacts & Eyeglasses

  • Optician
  • Green Bay, WI
  • NPI 1700202538
  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Fond Du Lac, WI
  • NPI 1205492675

  Optometrist

  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Hartford, WI
  • NPI 1912598830

  Optometrist

  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Pewaukee, WI
  • NPI 1932767316

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1346868809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 S MAIN ST UNIT 7",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954937",
            "telephone_number": "262-334-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S MAIN ST UNIT 7",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954937",
            "telephone_number": "262-334-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESTERER",
        "first_name": "HALEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3630-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "BROWN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lewis Rice, SAC-IT
• Paul R Rice, MD
• Emma Louise Richardson
• Tammy J Ricke, SOCIAL WORKER
• Janelle Riedl, DC
• Rieter Podiatry Associates SC
• Todd Ralph Rieter, D.P.M.
• Spencer Rittmann, PTA
• River Shores Chiropractic SC
• Mary Geralyn Roberts, RN

• Optometrist in West Bend, WI
• Providers in West Bend, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.