Active NPI
Renee Haefs, O.D.
- Optometrist
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2698
- Practice address
- 10938 N Port Washington Rd
Mequon, WI 53092-5031 - Phone
- (262) 241-4848
- Fax
- (262) 241-9865
- NPI assigned
- Aug 1, 2006
- Last updated
- Oct 1, 2020
- 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 | 2698 | WI | Primary |
Addresses
Primary practice location
10938 N Port Washington Rd
Mequon, WI 53092-5031
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
5102 S Packard Ave
Cudahy, WI 53110-1922
Phone (414) 769-6120
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2698 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Pewaukee Vision SC | Optometrist | Current | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| SE Professionals, S.C. | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
Locations
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
5102 S Packard Ave
Cudahy, WI 53110
Phone (414) 769-6120
120 Martin Dr
Fredonia, WI 53021
Phone (262) 692-9000
2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020
10800 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-4848
8693 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 351-2020
2315 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 521-9383
123 Hospital Dr
Ste 1002
Watertown, WI 53098
Phone (920) 261-8225
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Optometrist
- Waukesha, WI
- NPI 1780053595
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
-
- Optometrist
- Brookfield, WI
- NPI 1457890220
-
- Optometrist
- Kenosha, WI
- NPI 1477691673
-
- Optometrist
- Appleton, WI
- NPI 1770621971
-
- Optometrist
- Racine, WI
- NPI 1922146117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1609883990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10938 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925031",
"telephone_number": "262-241-4848",
"fax_number": "262-241-9865"
}
],
"practiceLocations": [
{
"address_1": "5102 S Packard Ave",
"address_purpose": "LOCATION",
"city": "Cudahy",
"state": "WI",
"postal_code": "531101922",
"country_code": "US",
"telephone_number": "414-769-6120",
"fax_number": "414-769-6998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAEFS",
"first_name": "RENEE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.