Ann T Schlaefer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2518 Issued in WI

Practice address

128 W Main St
Campbellsport, WI 53010-2704

Phone

(920) 533-8426

Fax

(920) 533-8380

NPI assigned

Oct 3, 2005

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.38 of 100Reported as individual

Quality

86.75

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Schlaefer Optometrists

  • Clinic/Center
  • Campbellsport, WI
  • NPI 1154557817
  NPD (past) Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1548257728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W MAIN ST",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102704",
            "telephone_number": "920-533-8426",
            "fax_number": "920-533-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W MAIN ST",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102704",
            "telephone_number": "920-533-8426",
            "fax_number": "920-533-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAEFER",
        "first_name": "ANN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "77393",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046881",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38586400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ASSOCIATE",
            "identifier": "811046",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chistina M Rawlins
• Jennifer B Rickert, APNP
• Jeanne Marie Russart, LPN
• Brittany Schaefer, PHARMD
• Schlaefer Optometrists
• Debra S Schmidt-Stucke, RN
• Cory Thomas Schneider, APRN
• School Sisters of St. Francis-St. Joseph Convent
• Tarah Smith
• Amie Jo Steger, APNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.