Individual provider Active NPI

Demetra M Danos, OD

  • Optometrist
  • Kenosha, WI
National Provider Identifier
1437995842
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4061-35 Issued in WI
Practice address
9916 75TH St Ste 101
Kenosha, WI 53142-7583
Phone
(262) 658-1937
NPI assigned
Jul 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4061-35 WI Primary

Addresses

Primary practice location

9916 75TH St Ste 101
Kenosha, WI 53142-7583

Mailing address

9916 75TH St Ste 101
Kenosha, WI 53142-7583

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
I20250725000954 WI Practitioner - Optometry 9931616968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Chicago College of Medicine and Surgery, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Racine and Kenosha LTDGroup PAC ID 8921069048, 6 clinicians

Practice addresses (Care Compare)

9916 75TH St
Suite 101
Kenosha, WI 53142-7583
Phone (262) 637-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Racine and Kenosha LTD Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Eye Centers of Racine and Kenosha LTD CurrentSince Sep 1, 2025 Accepting new patients

Locations

9916 75th St
Ste 101
Kenosha, WI 53142
Phone (262) 637-0500

9916 75th St
Kenosha, WI 53142
Phone (262) 697-3800

13200 Globe Dr
Ste 216
Mount Pleasant, WI 53177
Phone (262) 635-0700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1437995842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 75TH ST STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-658-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANOS",
        "first_name": "DEMETRA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4061-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.