Active NPI
Tracey J Strombeck, O.D.
- Optometrist
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3170-035
- Practice address
- 2315 E Moreland Blvd # West
Waukesha, WI 53186-2939 - Phone
- (262) 532-5700
- Fax
- (262) 532-5701
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3170-035 | WI | Primary |
Addresses
Primary practice location
2315 E Moreland Blvd # West
Waukesha, WI 53186-2939
Mailing address
2315 E Moreland Blvd # West
Waukesha, WI 53186-2939
Phone (262) 532-5700
Other practice location 1
925 N 87th St
The Eye Institute
Milwaukee, WI 53226-4812
Phone (414) 955-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548417637 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3170-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Optometrist | Current | Accepting new patients |
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
| Children'S Specialty Group, Inc. | Optometrist | Past | Accepting new patients |
| Eye Care Center of New Holstein, LLC | Optometrist | Past | Accepting new patients |
Locations
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
925 N 87th St
Milwaukee, WI 53226
Phone (414) 955-2020
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
2315 E Moreland Blvd
Waukesha, WI 53186
Phone (262) 532-5700
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- tstrombeck13422@direct.chw.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Optometrist
-
- Optometrist
- New Holstein, WI
- NPI 1346385291
-
- Optometrist
- Milwaukee, WI
- NPI 1801829551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1548417637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD # WEST",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-532-5700",
"fax_number": "262-532-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD # WEST",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-532-5700",
"fax_number": "262-532-5701"
}
],
"practiceLocations": [
{
"address_1": "925 N 87th St",
"address_2": "THE EYE INSTITUTE",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264812",
"country_code": "US",
"telephone_number": "414-955-2020",
"fax_number": "414-955-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROMBECK",
"first_name": "TRACEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3170-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548417637",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.