Lance Engdahl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2711-035 Issued in WI

Practice address

2480 State Road 138 Ste 200
Stoughton, WI 53589-3702

Phone

(608) 889-1047

Fax

(608) 205-2196

NPI assigned

Dec 28, 2006

Last updated

Nov 2, 2026By the provider in NPPES

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

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  dba Shopko Optical 4019

  • Eyewear Supplier
  • Watertown, WI
  • NPI 1265098628

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Corr Opticians Inc

  • Optician
  • Neenah, WI
  • NPI 1336101161

  Optometrist

  NPD (past)
• Eyewear Unlimited Incorporated

  • Optician
  • Watertown, WI
  • NPI 1316152499
  NPD (past)
• Romenesko Family Eyecare LLC

  • Optometrist
  • Neenah, WI
  • NPI 1154972321
  NPD (past)
• Stein Optical Inc.

  dba Stein Optical

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1689730681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19060",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079060",
            "telephone_number": "920-429-7285",
            "fax_number": "920-429-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 STATE ROAD 138 STE 200",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893702",
            "telephone_number": "608-889-1047",
            "fax_number": "608-205-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Hometown Cir Ste 106",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931561",
            "country_code": "US",
            "telephone_number": "608-653-6218",
            "fax_number": "608-845-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGDAHL",
        "first_name": "LANCE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2711-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Duncan, PT
• Denise Marie Duranczyk, MS, PT
• Eds
• Cindy Lee Ehr, COTA
• Veronica M Ellingworth, MS, LPC, SAC, ICS
• Comfort C Eruchalu, RN
• Daniel R Eugster, D.C.
• Tara N. Evans, P.T.
• Evergreen Medical Transport LLC
• Everside Health-Sti Stoughton

• Optometrist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; 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.