Individual provider Active NPI

Wesley Meyer, O.D.

  • Optometrist
  • Appleton, WI
National Provider Identifier
1396714812
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2318 Issued in WI
Practice address
3329 N Richmond St
Appleton, WI 54911-1063
Phone
(920) 380-2715
Fax
(920) 608-2755
NPI assigned
Mar 16, 2006
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2318 WI Primary

Addresses

Primary practice location

3329 N Richmond St
Appleton, WI 54911-1063

Mailing address

3329 N Richmond St
Appleton, WI 54911-1063
Phone (920) 380-2715

Other identifiers 1

IdentifierTypeStateIssuer
38577400MedicaidWI

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
I20110114000618 WI Practitioner - Optometry 0244324390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

101 N Western Ave
Suite 101
Waupaca, WI 54981-2201
Phone (534) 400-2068

4551 8TH St S
Suite 102
Wisconsin Rapids, WI 54494-6781
Phone (715) 423-1340

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

Merit-based Incentive Payment System (MIPS)

Final score
99.33 of 100Reported as group
Quality
98.33
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2318WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Wisconsin Vision Center, LTD. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Northeast Wisconsin Vision Center, LTD CurrentSince Feb 1, 2022 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

1885 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 232-6550

101 N Western Ave
Ste 101
Waupaca, WI 54981
Phone (534) 400-2068

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1396714812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715",
            "fax_number": "920-608-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715",
            "fax_number": "920-608-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "WESLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38577400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.