Timothy M Pritzl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3917 Issued in WI

Practice address

309 McHenry St
Burlington, WI 53105-2123

Phone

(262) 763-0117

Fax

(262) 763-0119

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision and Contact Lens Centers, S.C.Group PAC ID 9133135734, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Vision & Contact Lens Centers, S.C.

  • Optometrist
  • Burlington, WI
  • NPI 1093935504
  Medicare reassignment Care Compare group NPD
• Family Vision & Contact Lens CTRS SC

  • Optometrist
  • Oak Creek, WI
  • NPI 1972778140
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1437837374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052123",
            "telephone_number": "262-763-0117",
            "fax_number": "262-763-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052123",
            "telephone_number": "262-763-0117",
            "fax_number": "262-763-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITZL",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Phillips, RN
• James Patrick Pietryga, PHARMD
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• Brittany L Porter, PAC
• Sara Frances Prelog, MSW
• Private Healthcare Facilities
• Professional Psychological Services, SC
• Donna Jeanne Przybylinski, M.A.
• Charles Anthony Puntillo, DDS
• Purath Headache & Neurology, S.C.

• Optometrist in Burlington, WI
• Providers in Burlington, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.

Verify at the official NPI Registry.