Active NPI
Cory A Springstroh, OD
- Optometrist
- Beaver Dam, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3183-35
- Practice address
- 240 Corporate Drive
Beaver Dam, WI 53916-3115 - Phone
- (920) 887-1151
- Fax
- (920) 887-3353
- NPI assigned
- Jul 8, 2010
- Last updated
- Jan 16, 2023
- Sex
- Male
- 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 | 3183-35 | WI | Primary |
Addresses
Primary practice location
240 Corporate Drive
Beaver Dam, WI 53916-3115
Mailing address
240 Corporate Drive
Beaver Dam, WI 53916-3115
Phone (920) 887-1151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3183-35 | Other | WI | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
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 Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Gateway Dr
Waupun, WI 53963-2276
Phone (920) 324-3191
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 56.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3183-35 | WI | MD | Optometrist |
| 3183 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Past | Accepting new patients |
Locations
240 Corporate Dr
Beaver Dam, WI 53916
Phone (920) 324-3191
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
140 Gateway Dr
Waupun, WI 53963
Phone (715) 324-3191
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 7
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.
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
dba MCHS Freestanding Clinic Physician Group
- Internal Medicine Physician
- Wausau, WI
- NPI 1164159109
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center - Beaver Dam Hospital InstyMeds
- Non-Pharmacy Dispensing Site
- Beaver Dam, WI
- NPI 1992954119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1639481534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 CORPORATE DRIVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163115",
"telephone_number": "920-887-1151",
"fax_number": "920-887-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CORPORATE DRIVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163115",
"telephone_number": "920-887-1151",
"fax_number": "920-887-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGSTROH",
"first_name": "CORY",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3183-35",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3183-35",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "240 Corporate Drive",
"city": "Beaver Dam",
"state": "WI",
"country_code": "US",
"postal_code": "539163115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.