Andrew S Palm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2939 - 035 Issued in WI

Practice address

9348 State Road 16 Ste 228
Onalaska, WI 54650-8567

Phone

(608) 781-2020

Fax

(608) 781-2445

NPI assigned

Dec 19, 2006

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Palm Vision, LLC

  dba Pearle Vision

  • Optometrist
  • La Crosse, WI
  • NPI 1801122148
  Authorized official Same address or phone

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1477616431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 AMY DR",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369347",
            "telephone_number": "608-317-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 STATE ROAD 16 STE 228",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508567",
            "telephone_number": "608-781-2020",
            "fax_number": "608-781-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2939-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2939 - 035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onalaska Senior Living, LLC
• Onalaska Vision Associates, Inc.
• Oral Surgery Clinic of la Crosse LTD.
• Orthodontic Specialists of Onalaska and the Coulee Region (Kujak Orthodontics)
• Ellen M Ott, PNP
• Diane C Palm, APNP
• Molly Parslow, MS, LPC-IT
• Khyati Harsh Patel, MBBS
• Ruchi Patel, PHARM.D
• Katelyn Nicole Patten, MS, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.