Active NPI
Joseph John Krupka, O.D.
- Optometrist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2613
- Practice address
- 955 Mutual Way
Appleton, WI 54913-8415 - Phone
- (920) 954-6600
- Fax
- (920) 954-7671
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2613 | WI | Primary |
Addresses
Primary practice location
955 Mutual Way
Appleton, WI 54913-8415
Mailing address
2228 Woodlawn LN
Appleton, WI 54914-8708
Phone (920) 731-3399
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 Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1033 W Northland Ave
Suite B
Appleton, WI 54914-1499
Phone (920) 731-4511
1490 Oneida St
Appleton, WI 54915-7100
Phone (920) 725-3752
6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
Locations
1033 W Northland Ave
Ste B
Appleton, WI 54914
Phone (920) 731-4511
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
Organizations & group practices 7
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.
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Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407966658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 WOODLAWN LN",
"city": "APPLETON",
"state": "WI",
"postal_code": "549148708",
"telephone_number": "920-731-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MUTUAL WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138415",
"telephone_number": "920-954-6600",
"fax_number": "920-954-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPKA",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.