Individual provider Active NPI

Katie Bigari Bluhm, O.D.

  • Optometrist
  • Marshfield, WI
National Provider Identifier
1639332935
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3166 Issued in WI
Practice address
1645 N Central Ave
Marshfield, WI 54449-1550
Phone
(715) 502-3464
Fax
(715) 502-3463
NPI assigned
Jul 7, 2008
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002425 IA
Optometrist 152W00000X 4901004478 MI
Optometrist 152W00000X 3166 WI Primary

Addresses

Primary practice location

1645 N Central Ave
Marshfield, WI 54449-1550

Mailing address

1645 N Central Ave
Marshfield, WI 54449-1550
Phone (715) 502-3464

Other names 1

  • Dr. Katie Terese Bigari Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000169 WI Practitioner - Optometry 4082751490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1645 N Central Ave
Marshfield, WI 54449-1550
Phone (715) 502-3464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004478MIMDOptometrist
3166WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joey's Optical, LLC CurrentSince Mar 2, 2016 Accepting new patients
Minocqua Optical & Wellness LLC Optometrist PastSince Jul 1, 2023 Accepting new patients
Tomahawk Eye Care Inc PastSince Oct 1, 2012 Accepting new patients
Marshfield Clinic Inc Past Accepting new patients

Locations

1645 N Central Ave
Marshfield, WI 54449
Phone (715) 502-3464

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1639332935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491550",
            "telephone_number": "715-502-3464",
            "fax_number": "715-502-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491550",
            "telephone_number": "715-502-3464",
            "fax_number": "715-502-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUHM",
        "first_name": "KATIE",
        "middle_name": "BIGARI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002425",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004478",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BIGARI",
            "middle_name": "TERESE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.