Individual provider Active NPI

Margarette Elaine J Alcesto, OD

  • Optometrist
  • Shorewood, WI
National Provider Identifier
1669984563
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4395-35 Issued in WI
Practice address
4163 N Oakland Ave
Shorewood, WI 53211-2027
Phone
(414) 455-8131
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4395-35 WI Primary

Addresses

Primary practice location

4163 N Oakland Ave
Shorewood, WI 53211-2027

Mailing address

4163 N Oakland Ave
Shorewood, WI 53211-2027

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
I20180125001375 WI Practitioner - Optometry 4082973714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

4163 N Oakland Ave
Shorewood, WI 53211-2027
Phone (414) 455-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4395-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Vision, LLC Optometrist CurrentSince Nov 18, 2017 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Nov 18, 2017 Accepting new patients

Locations

351 N Casaloma Dr
Appleton, WI 54913
Phone (920) 749-1101

20205 Union St
Brookfield, WI 53045
Phone (262) 785-9393

5530 N Port Washington Rd
Unit C
Glendale, WI 53217
Phone (414) 897-0152

2929 Milton Ave
Ste 140
Janesville, WI 53545
Phone (608) 756-0728

5725 75th St
Kenosha, WI 53142
Phone (262) 694-5553

5505 Odana Rd
Madison, WI 53719
Phone (608) 277-9393

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

2229 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 458-9301

4163 N Oakland Ave
Shorewood, WI 53211
Phone (414) 455-8131

116 E Sunset Dr
Ste 100
Waukesha, WI 53189
Phone (262) 524-1130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1669984563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112027",
            "telephone_number": "414-455-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCESTO",
        "first_name": "MARGARETTE ELAINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4395-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

Verify at the official NPI Registry.