David W. Kisiolek, O.D., S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1742 Issued in WI

Legal business name

DAVID W. KISIOLEK, O.D., S.C.

Practice address

300 Audubon Rd
Howards Grove, WI 53083-1288

Phone

(920) 565-3991

Fax

(920) 565-4404

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

David W Kisiolek, ODNPI 1285748459

Title

Owner/Optometrist

Phone

(920) 565-3991

Specialties & licenses 1

Addresses

Other names 1

• Kisiolek Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Practitioners 3

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

• David W Kisiolek, O.D.

  • Optometrist
  • Howards Grove, WI
  • NPI 1285748459
  Medicare reassignment Care Compare group NPD Authorized official
• Kristie Lynn Andrews, O.D.

  • Optometrist
  • Howards Grove, WI
  • NPI 1073996633
  Medicare reassignment Care Compare group NPD
• Darya McDaniel, O.D.

  • Optometrist
  • Howards Grove, WI
  • NPI 1477931954
  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1619065224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AUDUBON RD",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831288",
            "telephone_number": "920-565-3991",
            "fax_number": "920-565-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AUDUBON RD",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831288",
            "telephone_number": "920-565-3991",
            "fax_number": "920-565-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. KISIOLEK, O.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "KISIOLEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "920-565-3991",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kisiolek Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine M Best, MD
• Zachary Brocker, D.C.
• Nicholas Andrew Broder, DC
• Erik Thomas Butzen, D.C
• Choices Family Education Services of Wi LLC
• Noemi Gisell Garcia, D.D.S.
• Howards Grove Family Dental, LLC
• Natalie Jensema
• Aric Jump
• Rebecca Joan Kiekhoefer

• Optometrist in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.