Stephen J Merfeld, M.D.
Individual provider Active NPI Ophthalmology Physician · Oshkosh, WI
NPI 1619957230 · NPPES record last updated Jul 10, 2013
Key facts
- NPI
- 1619957230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 34248 (WI)
- Practice address
- 1885 W Pointe Dr
Oshkosh, WI 54902-4174 - Phone
- (920) 232-6550
- Fax
- (920) 232-6552
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000464 | WI | Practitioner - Ophthalmology | 8224082771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34248 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Wisconsin Vision Center, LTD | Ophthalmology | Current |
Accepting new patients |
| Northeast Wisconsin Vision Center, LTD. | Ophthalmology | Current |
Accepting new patients |
Locations
269 Memorial Dr
Ste 102
Berlin, WI 54923
Phone (800) 876-8182
1885 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 232-6550
900 Riverside Dr
Waupaca, WI 54981
Phone (920) 232-6550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 34248 | WI | Yes |
Addresses
Primary practice location
1885 W Pointe Dr
Oshkosh, WI 54902-4174
Mailing address
PO Box 2723
Oshkosh, WI 54903-2723
Phone (920) 232-6550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31935900 | Medicaid | WI |
Other providers in Oshkosh, WI
- Mercy Medical Center of Oshkosh Inc
- Mercy Medical Center of Oshkosh Inc
- Mercy Medical Center of Oshkosh, Inc
- Mercy Medical Center of Oshkosh, Inc
- Mercy Medical Center of Oshkosh, Inc.
- Rebecca Merrill
- Kelsey A Metzig
- Jason John Meyer
- Rachael R Meyer
- Stephanie Meyer
All providers in Oshkosh, WI · Ophthalmology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.