David Bjork, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3017-035 Issued in WI

Practice address

1674 Old Schoolhouse Rd Ste 101
Oconomowoc, WI 53066-1396

Phone

(262) 354-0410

Fax

(262) 567-0744

NPI assigned

Nov 14, 2006

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

Other identifiers 2

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

Indiana University - School of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Watertown Vision LLCGroup PAC ID 8123267325, 3 clinicians

Oconomowoc Vision Clinic, LLCGroup PAC ID 5092896340, 2 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 and National Provider Directory roles.

• Oconomowoc Vision Clinic, LLC

  • Optometrist
  • Oconomowoc, WI
  • NPI 1376724377
  Medicare reassignment Care Compare group Authorized official
• Watertown Vision, LLC

  • Optometrist
  • Watertown, WI
  • NPI 1780935957
  Medicare reassignment Care Compare group NPD
• Pewaukee Vision SC

  • Optometrist
  • Waukesha, WI
  • NPI 1780053595
  Medicare reassignment NPD
• Optical Consultants, Inc

  • Optician
  • Pewaukee, WI
  • NPI 1174636922
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Racine, WI
  • NPI 1033270343
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1487726535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 OLD SCHOOLHOUSE RD STE 101",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661396",
            "telephone_number": "262-354-0410",
            "fax_number": "262-567-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 OLD SCHOOLHOUSE RD STE 101",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661396",
            "telephone_number": "262-354-0410",
            "fax_number": "262-567-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORK",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3017-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38726800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1376724377",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parivash Bhathena, RDH
• Melissa S Bichanich, L.AC
• Paityn C Biro, LMFT
• John T Bitner, D.D.S.
• Thomas J Bitner, D.D.S.,M.S.,S.C.
• Erik R Bjork, O.D
• Donald S. Blatnik, M.D.
• David Richard Bock, C.AC.DIPL.OM,FABORM
• Melissa Bock, PMHNP
• Christine Marie Bolyard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.