Active NPI
Camile D Sateren, O.D.
- Optometrist
- Ashland, WI
National Provider Identifier
1386786754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2424
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000012004 | Other | WI | MEDICARE CLINIC ID |
| 38593600 | Medicaid | WI | |
| 120040006 | Other | WI | MEDICARE PTAN |
| 204728664 | Other | WI | CLINIC TAX ID |
| 5705960001 | Other | WI | MEDICARE DMERC ID |
Other names 1
- Camile D Doll
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.19 of 100
- Quality
- 74.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Medical Services, Inc | Past | Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients | |
| Sateren Eye Care, S.C. | Optometrist | Past | 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.
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Optometrist
- Ashland, WI
- NPI 1740322908
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
-
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.