Active NPI
Mindy Lynn Harrington, OD
- Optometrist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3552-35
- Practice address
- 21 Park PL
Appleton, WI 54914-8872 - Phone
- (920) 739-4361
- NPI assigned
- May 24, 2019
- Last updated
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005235 | MI | |
| Optometrist | 152W00000X | 3552-35 | WI | Primary |
Addresses
Primary practice location
21 Park PL
Appleton, WI 54914-8872
Mailing address
21 Park PL
Appleton, WI 54914-8872
Phone (920) 739-4361
Other practice location 1
2500 E Capitol Dr Ste 3500
Appleton, WI 54911-8735
Phone (920) 358-1820
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
- Ferris State College - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Park PL
Appleton, WI 54914-8872
Phone (920) 739-4361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Eye Associates | Optometrist | Current | Accepting new patients |
| Park Place Optical, LTD | Past | Accepting new patients |
Locations
21 Park Pl
Appleton, WI 54914
Phone (920) 739-4361
2500 E Capitol Dr
Ste 3500
Appleton, WI 54911
Phone (920) 358-1820
1543 Park Pl
Ste 400
Green Bay, WI 54304
Phone (920) 497-0100
358 S Koeller St
Oshkosh, WI 54902
Phone (920) 233-0005
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Appleton, WI
- NPI 1699789032
-
- Optician
- Appleton, WI
- NPI 1255465738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1689231649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 PARK PL",
"city": "APPLETON",
"state": "WI",
"postal_code": "549148872",
"telephone_number": "920-739-4361",
"fax_number": "920-739-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PARK PL",
"city": "APPLETON",
"state": "WI",
"postal_code": "549148872",
"telephone_number": "920-739-4361"
}
],
"practiceLocations": [
{
"address_1": "2500 E Capitol Dr Ste 3500",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549118735",
"country_code": "US",
"telephone_number": "920-358-1820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRINGTON",
"first_name": "MINDY",
"middle_name": "LYNN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005235",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3552-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.