Individual provider Active NPI

Joanne Beyer Rentmeester, O.D.

  • Optometrist
  • Waukesha, WI
National Provider Identifier
1427336353
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3445 Issued in WI
Practice address
1111 Delafield St Ste 312
Waukesha, WI 53188-3407
Phone
(262) 547-3352
NPI assigned
Jul 26, 2011
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA14550TLG CA
Optometrist 152W00000X 4901004663 MI
Optometrist 152W00000X 3445 WI Primary

Addresses

Primary practice location

1111 Delafield St Ste 312
Waukesha, WI 53188-3407

Mailing address

16970A W Bluemound Rd
Brookfield, WI 53005-5952
Phone (262) 784-8120

Other practice location 1

2015 Birch Rd Ste 1019
Chula Vista, CA 91915-2011
Phone (262) 271-4522

Other practice location 2

2015 Birch Rd Ste 1019
Chula Vista, CA 91915-2011
Phone (262) 271-4522

Other practice location 3

16970 W Bluemound Rd
Brookfield, WI 53005-5952
Phone (262) 784-8120

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
I20210818003262 WI Practitioner - Optometry 5294992509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Associates SCGroup PAC ID 0941195036, 8 clinicians

Practice addresses (Care Compare)

N19W23993 Ridgeview Pkwy W
Suite 100
Waukesha, WI 53188-1031
Phone (262) 547-3352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA14550TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Associates, S.C. CurrentSince Jul 16, 2021 Accepting new patients
Medical Eye Associates, S.C. CurrentSince Jul 16, 2021 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1185 Corporate Center Dr
Ste 210
Oconomowoc, WI 53066
Phone (262) 560-0725

1111 Delafield St
Ste 312
Waukesha, WI 53188
Phone (262) 547-3352

N19W23993 Ridgeview Pkwy W
Ste 100
Waukesha, WI 53188
Phone (262) 547-3352

201 N Mayfair Rd
Ste 525
Wauwatosa, WI 53226
Phone (414) 259-1420

Interoperability endpoints

  • Direct secure messaging: jrentmeester151872@direct.phci.org

Organizations & group practices 4

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1427336353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970A W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055952",
            "telephone_number": "262-784-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 312",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883407",
            "telephone_number": "262-547-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Birch Rd Ste 1019",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919152011",
            "country_code": "US",
            "telephone_number": "262-271-4522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Birch Rd Ste 1019",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919152011",
            "country_code": "US",
            "telephone_number": "262-271-4522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16970 W Bluemound Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055952",
            "country_code": "US",
            "telephone_number": "262-784-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTMEESTER",
        "first_name": "JOANNE",
        "middle_name": "BEYER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA14550TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004663",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.