Individual provider Active NPI

Michael L Tashner, OD

  • Optometrist
  • Platteville, WI
National Provider Identifier
1528059342
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2568 Issued in WI
Practice address
170 McGregor PLZ
Platteville, WI 53818-0022
Phone
(608) 348-2515
Fax
(608) 348-2574
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2568 WI Primary

Addresses

Primary practice location

170 McGregor PLZ
Platteville, WI 53818-0022

Mailing address

170 McGregor PLZ
PO Box 22
Platteville, WI 53818-0022
Phone (608) 348-2515

Other identifiers 1

IdentifierTypeStateIssuer
38588500MedicaidWI

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
I20090804000192 WI Practitioner - Optometry 1052464302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2568WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southwest Health Center, Inc. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

170 McGregor Plz
Platteville, WI 53818
Phone (608) 342-2515

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: mtashner395976@direct-ehr-ssmhc.com

Organizations & group practices 3

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1528059342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MCGREGOR PLZ",
            "address_2": "PO BOX 22",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538180022",
            "telephone_number": "608-348-2515",
            "fax_number": "608-348-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MCGREGOR PLZ",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538180022",
            "telephone_number": "608-348-2515",
            "fax_number": "608-348-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHNER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38588500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.