Organization Active NPI

Insight Eye Care, LLC

Doing business as Appleton Eye Clinic, LLC

  • Optometrist
  • Appleton, WI
National Provider Identifier
1609330505
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INSIGHT EYE CARE, LLC
Doing business as
Appleton Eye Clinic, LLC
Practice address
509 Chain Dr
Appleton, WI 54915-1437
Phone
(920) 235-5530
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Shelly Schroeder
Title
Account Specialist
Phone
(920) 235-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

509 Chain Dr
Appleton, WI 54915-1437

Mailing address

251 N Sawyer St
Oshkosh, WI 54902-4251
Phone (920) 235-5530

Other names 1

  • Appleton Eye Clinic, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071012000293 WI Part B Supplier - Clinic/Group Practice 1850487489 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Appleton, WI; Oshkosh, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

251 N Sawyer St
Oshkosh, WI 54902
Phone (920) 235-5530

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1609330505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024251",
            "telephone_number": "920-235-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CHAIN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151437",
            "telephone_number": "920-235-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "920-235-5530"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appleton Eye Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.