Individual provider Active NPI

Camile D Sateren, O.D.

  • Optometrist
  • Ashland, WI
National Provider Identifier
1386786754
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2424 Issued in WI
Practice address
1615 Maple Lane
Ashland, WI 54806
Phone
(715) 685-5513
Fax
(715) 682-4022
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2424 WI Primary

Addresses

Primary practice location

1615 Maple Lane
Ashland, WI 54806

Mailing address

1615 Maple Lane
Ashland, WI 54806
Phone (715) 685-5513

Other identifiers 5

IdentifierTypeStateIssuer
000012004OtherWIMEDICARE CLINIC ID
38593600MedicaidWI
120040006OtherWIMEDICARE PTAN
204728664OtherWICLINIC TAX ID
5705960001OtherWIMEDICARE DMERC ID

Other names 1

  • Camile D Doll Former name

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
I20100602000066 WI Practitioner - Optometry 8426118902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center Inc CurrentSince Jul 1, 2020 Accepting new patients
Memorial Medical Center Inc CurrentSince Jul 1, 2020 Accepting new patients
Medical Services, Inc Past Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients
Sateren Eye Care, S.C. Optometrist PastSince Apr 18, 1995 Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1386786754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LANE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-685-5513",
            "fax_number": "715-682-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LANE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-685-5513",
            "fax_number": "715-682-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATEREN",
        "first_name": "CAMILE",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLINIC ID",
            "identifier": "000012004",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38593600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "120040006",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC TAX ID",
            "identifier": "204728664",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC ID",
            "identifier": "5705960001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILE",
            "last_name": "DOLL",
            "middle_name": "D",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.