John E Warren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2527 Issued in WI

Practice address

1139 S Sunnyslope Dr Ste 203
Mt Pleasant, WI 53406-3998

Phone

(262) 752-2020

Fax

(262) 292-5019

NPI assigned

Aug 19, 2005

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

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

Indiana University - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John Warren OD SCGroup PAC ID 4183796980, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.76 of 100Reported as individual

Quality

57.52

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwarren237957@direct.myadvocateaurora.org
• Direct secure messaging: john.warren@direct.revolutionehr.com

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.

• John E Warren OD SC

  • Optometrist
  • Mt Pleasant, WI
  • NPI 1821113697
  Medicare reassignment Care Compare group NPD Authorized official
• Warren Eye Care

  • Optometrist
  • Racine, WI
  • NPI 1114189750
  NPD Authorized official
• Warren Eye Care Center LLC

  • Optometrist
  • Mustang, OK
  • NPI 1023199379
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1609868124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 S SUNNYSLOPE DR STE 203",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "262-752-2020",
            "fax_number": "262-292-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 S SUNNYSLOPE DR STE 203",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "262-752-2020",
            "fax_number": "262-292-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dajun Wang, M.D.
• Jeffrey Wang, AUD
• Jill Koch Wanggaard, NP
• Michael John Wanner, PHYSICIAN ASSISTANT
• Susan H Ward, APNP
• Emily Watkins, OTR
• Rachel Way, LPC-IT
• Olivia A Weber, PA
• Ashley Weiland
• Jaclyn Weir, MSW, APSW

• Optometrist in Mt Pleasant, WI
• Providers in Mt Pleasant, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.
• 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.