Individual provider Active NPI

Sean Tyler Sweeney, O.D.

  • Optometrist
  • Middleton, WI
National Provider Identifier
1669670006
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WI3078-035 Issued in WI
Practice address
2150 Deming Way
Middleton, WI 53562
Phone
(608) 824-3961
NPI assigned
Jul 6, 2007
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3078-035 WI
Optometrist 152W00000X WI3078-035 WI Primary

Addresses

Primary practice location

2150 Deming Way
Middleton, WI 53562

Mailing address

2150 Deming Way
Middleton, WI 53562-5507
Phone (608) 669-7952

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
I20071022000038 WI Practitioner - Optometry 4385730472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
May accept Medicare assignment
Group practices
T.S. Advanced Eye Care, Inc.Group PAC ID 6507926037, 3 clinicians

Practice addresses (Care Compare)

2150 Deming Way
Middleton, WI 53562-5507
Phone (608) 824-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3078-035WIMDOptometrist
WI3078-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T.S. Advanced Eye Care, Inc. Optometrist CurrentSince Aug 20, 2008 Accepting new patients

Locations

2150 Deming Way
Middleton, WI 53562
Phone (608) 824-3961

Organizations & group practices 1

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1669670006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625507",
            "telephone_number": "608-669-7952",
            "fax_number": "608-824-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-824-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "SEAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3078-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI3078-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.