Individual provider Active NPI

James Joseph Geraets, O.D.

  • Optometrist
  • Janesville, WI
National Provider Identifier
1497735864
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1803 Issued in WI
Practice address
2704 N Pontiac Dr
Janesville, WI 53545-0343
Phone
(608) 758-2020
Fax
(608) 755-7604
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1803 WI Primary

Addresses

Primary practice location

2704 N Pontiac Dr
Janesville, WI 53545-0343

Mailing address

1009 Thornecrest Dr
Janesville, WI 53546-1789
Phone (608) 756-9314

Other identifiers 1

IdentifierTypeStateIssuer
38520300MedicaidWI

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
I20111209000773 WI Practitioner - Optometry 9537372156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2704 N Pontiac Dr
Janesville, WI 53545-0343
Phone (608) 758-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geraets Vision Center, Inc Optometrist CurrentSince Mar 13, 2002 Accepting new patients

Locations

2704 N Pontiac Dr
Janesville, WI 53545
Phone (608) 758-2020

Organizations & group practices 1

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1497735864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 THORNECREST DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461789",
            "telephone_number": "608-756-9314",
            "fax_number": "608-755-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N PONTIAC DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450343",
            "telephone_number": "608-758-2020",
            "fax_number": "608-755-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERAETS",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38520300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.