Deibert Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3165 Issued in WI

Legal business name

DEIBERT EYE CARE LLC

Practice address

15205 W Greenfield Ave
New Berlin, WI 53151-1519

Phone

(262) 317-8900

Fax

(262) 786-4639

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Ryan K Deibert, ODNPI 1588896104

Title

Owner

Phone

(414) 317-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan K Deibert, O.D.

  • Optometrist
  • Sturtevant, WI
  • NPI 1588896104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1598146490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15205 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511519",
            "telephone_number": "262-317-8900",
            "fax_number": "262-786-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15205 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511519",
            "telephone_number": "262-317-8900",
            "fax_number": "262-786-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIBERT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DEIBERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-317-8900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Damico-Stano
• William Mead Davies, MD
• Angela Davis, MA, LPC-IT
• Bruce Davison, M.D.
• Dbo Holdings, LLC
• Daniel Delach
• Arlen R Delp, D.O.
• Dennis G Vincent M D S C
• Pamela Lee Dennison, LCSW
• Stephen J. Desidero, M.D.

• Optometrist in New Berlin, WI
• Providers in New Berlin, 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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.