Griebenow Eyecare, S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GRIEBENOW EYECARE, S.C.

Practice address

105 Northridge Drive
New London, WI 54961

Phone

(920) 982-3711

Fax

(920) 982-3009

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Sylte

Title

Business Manager

Phone

(920) 982-3711

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Griebenow Eyecare, S.C.

  • Optometrist
  • Clintonville, WI
  • NPI 1003045402

  O20050120000809

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Griebenow Eyecare, S.C.

  • Optometrist
  • Clintonville, WI
  • NPI 1003045402
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly Benck, OD

  • Optometrist
  • New London, WI
  • NPI 1992234595
  Medicare reassignment Care Compare group NPD
• Christopher Lopez, OD

  • Optometrist
  • Clintonville, WI
  • NPI 1922514447
  Medicare reassignment Care Compare group NPD
• Craig E Sylte, O.D.

  • Optometrist
  • New London, WI
  • NPI 1770712903
  Medicare reassignment Care Compare group NPD
• Annette J Wilde, OD

  • Optometrist
  • Menasha, WI
  • NPI 1205829942
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1366599433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549610230",
            "telephone_number": "920-982-3711",
            "fax_number": "920-982-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHRIDGE DRIVE",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "54961",
            "telephone_number": "920-982-3711",
            "fax_number": "920-982-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEBENOW EYECARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "SYLTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-982-3711"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38510500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "newlondon@griebenoweyecare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "105 Northridge Drive",
            "city": "New London",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie G Gauthier, APNP
• Steven A Goedderz, MD
• Debbra Lynn Goodman, OTR
• Gabrielle R Gore
• Danielle Greshamer, COTA
• Kerry Lee Griebenow, O.D.
• Stacey Grosnick, MPT
• Wendy Lin Guyette, APNP
• Angelika Franziska Haas, M.S.
• David B Hale, MD

• Optometrist in New London, WI
• Providers in New London, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.