Lance Engdahl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2711-035 Issued in WI

Practice address

7425 W. Appleton Avenue
Milwaukee, WI 53216

Phone

(414) 464-5440

Fax

(414) 464-0996

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist, WI

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Coeur D Alene, ID
  • NPI 1063078442
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1154987535
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • West Jordan, UT
  • NPI 1407412885
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Missoula, MT
  • NPI 1417513896
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Bismarck, ND
  • NPI 1518601483
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Marquette, MI
  • NPI 1578129094
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Aberdeen, SD
  • NPI 1588220958
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Dubuque, IA
  • NPI 1588220974
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Dixon, IL
  • NPI 1699331082
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Saint Cloud, MN
  • NPI 1942866371
  Care Compare group
• Shoptikal LLC

  • Eyewear Supplier
  • Grand Island, NE
  • NPI 1952967325
  Care Compare group

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLC 192 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1689730681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W. APPLETON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-464-5440",
            "fax_number": "414-464-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGDAHL",
        "first_name": "LANCE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2711-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38616700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Endres, PHARMD
• Nicholas Anthony Enea, PA-C
• Pamela Enea, OTR
• Engaging Care LLC
• Ava Engberg, PT, DPT
• Brett Engel
• Kristine Lynn Engel, RN, MSN, CRRN
• Melody Engel, M.S., R.D., C.D.
• Shannon M Engel, RDH
• Thomas W Engel II, M.D.

• All providers in Milwaukee, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.

Verify at the official NPI Registry.