Kendra Erickson Garbrecht, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3129-035 Issued in WI

Practice address

2104 State Road 16
La Crosse, WI 54601-3046

Phone

(608) 782-7127

Fax

(608) 782-7124

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optical Fashions LTDGroup PAC ID 0840248522, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.41 of 100Reported as group

Quality

74.83

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendra.garbrecht@direct.revolutionehr.com

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.

• Optical Fashions LTD

  • Optometrist
  • La Crosse, WI
  • NPI 1083718183
  Medicare reassignment Care Compare group NPD
• Optical Fashions LTD

  • Optometrist
  • Holmen, WI
  • NPI 1780198515
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1508962879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4637 TIMBERCREST DR E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508623",
            "telephone_number": "608-799-4138",
            "fax_number": "608-781-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013046",
            "telephone_number": "608-782-7127",
            "fax_number": "608-782-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBRECHT",
        "first_name": "KENDRA",
        "middle_name": "ERICKSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02325",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3129-035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1215110424",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "870360007",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Erin Galles, ATC, LAT
• Adam F Gamoke, PA
• Denise H Ganey, BSW
• Michaela Gansen, APSW
• Lois M. Garbisch, ASSOCIATE DEGREE
• Oscar Alejandro Garcia Valencia, MD
• Traci J Garcia-Laures, CADCIII
• Cisco Esteban Garcia
• Brooke Catherine Gardner, MSW LCSW
• Arvind Kumar Garg, M.D.

• Optometrist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.