Joseph Ward Stradel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2693 035 Issued in WI

Practice address

919 W Kennedy Ave Ste a
Kimberly, WI 54136-2205

Phone

(920) 733-0919

Fax

(920) 733-0912

NPI assigned

Dec 19, 2005

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimberly Eye Clinic IncGroup PAC ID 5991760829, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Eye Clinic Inc

  • Optometrist
  • Kimberly, WI
  • NPI 1912983370
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1376529735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W KENNEDY AVE STE A",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541362205",
            "telephone_number": "920-733-0919",
            "fax_number": "920-733-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W KENNEDY AVE STE A",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541362205",
            "telephone_number": "920-733-0919",
            "fax_number": "920-733-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADEL",
        "first_name": "JOSEPH",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2693 035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38601300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC (ShopKo Pharmacy 028)
• Shopko Stores Operating Co. LLC (ShopKo Optical 028)
• David Paul Smits, O.D.
• Daniel Wayne Steffen, RPH
• Lora J Stonelake, LPN
• Skye Summers
• Madeline Taylor
• Stephanie Brianna Ticks
• Ashley Ann Torreano, O.D.
• Tri County Chiropractic SC

• Optometrist in Kimberly, WI
• Providers in Kimberly, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.