Marcus J Neitzke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2760 Issued in WI

Practice address

3228 Turnberry Oak Dr
Suite 200
Waukesha, WI 53188-3969

Phone

(262) 542-7113

Fax

(262) 542-9439

NPI assigned

Aug 15, 2005

Last updated

Dec 16, 2008By 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

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

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadowbrook EyecareGroup PAC ID 2163964420, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Meadowbrook Eyecare

  • Optometrist
  • Waukesha, WI
  • NPI 1205607025
  Medicare reassignment Care Compare group NPD Authorized official
• The Eye Group SC

  • Optometrist
  • Waukesha, WI
  • NPI 1659332823
  Medicare reassignment NPD
• Stein Optical Inc.

  dba Stein Optical

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1548262033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 TURNBERRY OAK DR",
            "address_2": "SUITE 200",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883969",
            "telephone_number": "262-542-7113",
            "fax_number": "262-542-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 TURNBERRY OAK DR",
            "address_2": "SUITE 200",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883969",
            "telephone_number": "262-542-7113",
            "fax_number": "262-542-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEITZKE",
        "first_name": "MARCUS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38608500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "P00327818",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Navarro, PHARMD
• Mary Beth Nawrocki, PT
• Thomas Joseph Neduvelil, RPH
• Sarah Elizabeth Neerdaels, SAC-IT
• Nehs Family Vision Center, Inc.
• Allison Marie Nelson, M.D.
• Amber L Nelson
• Clandres Nelson
• Jeffrey Scott Nelson, PA-C
• Jessica Nelson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.