Michael Seebruck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3453 Issued in WI

Practice address

1801 W Knapp St Ste 3
Rice Lake, WI 54868-1381

Phone

(715) 234-3113

NPI assigned

Jun 2, 2017

Last updated

Jul 21, 2022By 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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northview Eye Associates LLCGroup PAC ID 3577836006, 6 clinicians

Practice addresses (Care Compare)

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.

• Northview Eye Associates LLC

  • Optometrist
  • Rice Lake, WI
  • NPI 1215465083
  Medicare reassignment Care Compare group NPD
• Spooner Eye Care SC

  dba Spooner Eye Care

  • Optometrist
  • Payette, ID
  • NPI 1992773998
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497283493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST STE 3",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681381",
            "telephone_number": "715-234-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST STE 3",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681381",
            "telephone_number": "715-234-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15936 US Highway 63",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548437162",
            "country_code": "US",
            "telephone_number": "715-634-1028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Spooner",
            "state": "WI",
            "postal_code": "548011319",
            "country_code": "US",
            "telephone_number": "715-635-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEBRUCK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jean Schroeder, DPT
• Brittany Paige Schultz, M.A., CCC-SLP
• Lloyd Leland Schultz III, MS, LPC-IT
• Bethany Erin Schweiner
• Mildred Jean Seabold, MS, RD,CD
• Lacey B. Seipp, COTA
• Irina Selezneva, MD
• Jared Richard Sherman, PA-C
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 132)
• Shopko Stores Operating Co. LLC (ShopKo Optical 132)

• Optometrist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.