Andrew M Josephs, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3082-035 Issued in WI

Practice address

250 N 18TH Ave
Suite 105
Monroe, WI 53566-1482

Phone

(920) 216-3133

NPI assigned

Jun 29, 2007

Last updated

Sep 16, 2020By 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

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.josephs@uprisedirect.com

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.

• Stateline Vision Center LLC

  • Optometrist
  • Monroe, WI
  • NPI 1104219039
  Medicare reassignment NPD Authorized official
• Northeast Wisconsin Vision Center, LTD

  • Optician
  • Oshkosh, WI
  • NPI 1790905073
  NPD (past)
• Northeast Wisconsin Vision Center, LTD.

  • Ophthalmology Physician
  • Oshkosh, WI
  • NPI 1295715415

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700083169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N 18TH AVE STE 105",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661482",
            "telephone_number": "608-325-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 18TH AVE",
            "address_2": "SUITE 105",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661482",
            "telephone_number": "920-216-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3082-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38631700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Jenson, D.C.
• Luke A. Johanson, FNP
• Amy L Johnson, MD
• Hayley L Jordan, OTRL, CLT
• Jesse Jorgensen
• Anna Rose Jubie, RPH
• Adrienne Jurewicz, MS, LMFT
• Lesa A Karalis, MS-SLP
• Taylor Karlson
• James M Karpinen, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.