Susan L Orvis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2522-035 Issued in WI

Practice address

W63 N543 B Hanover Ave.
Cedarburg, WI 53012-0826

Phone

(262) 377-3937

Fax

(262) 377-3948

NPI assigned

Jan 24, 2008

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Vision Center Inc

  dba Susan L Orvis OD

  • Optometrist
  • Cedarburg, WI
  • NPI 1487625067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1629255344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W63 N543 B HANOVER AVE.",
            "address_2": "P.O. BOX 826",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530120826",
            "telephone_number": "262-377-3937",
            "fax_number": "262-377-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W63 N543 B HANOVER AVE.",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530120826",
            "telephone_number": "262-377-3937",
            "fax_number": "262-377-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORVIS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2522-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Clinic & Consultants, Inc.
• NSH Cedarburg LLC
• Katherine Emma Obrien, OTR/L
• Patricia Jo Odwyer, RPH, CGP
• Old Washington Vol Fire Department (Old Washington Fire Departmen)
• Allyson Otten, DPM
• Ozaukee Family Services
• Roberta Nancy Paquette, OTR
• Alexandra Nicole Paul
• Matthew James Paul, RPH

• Optometrist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.