Individual provider Active NPI

Callie Enyart, O.D.

  • Optometrist
  • Oregon, WI
National Provider Identifier
1730165861
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2856 Issued in WI
Practice address
185 W Netherwood Rd
Oregon, WI 53575-1100
Phone
(608) 835-3579
Fax
(608) 835-5828
NPI assigned
Dec 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2856 WI Primary

Addresses

Primary practice location

185 W Netherwood Rd
Oregon, WI 53575-1100

Mailing address

185 W Netherwood Rd
Oregon, WI 53575-1100
Phone (608) 835-3579

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
I20101019001312 WI Practitioner - Optometry 1456369669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Side Eye Care, S.C.Group PAC ID 6002824216, 5 clinicians

Practice addresses (Care Compare)

185 W Netherwood St
Oregon, WI 53575-1100
Phone (608) 835-3579

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as individual
Quality
69.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2856WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Side Eye Care, S.C. Optometrist CurrentSince Aug 1, 2001 Accepting new patients
Bright Side Eye Care, S.C. Optometrist CurrentSince Aug 1, 2001 Accepting new patients

Locations

641 E Saint Mary St
Milton, WI 53563
Phone (608) 868-4651

1532 W Broadway
Ste 103
Monona, WI 53713
Phone (608) 223-0202

185 W Netherwood St
Oregon, WI 53575
Phone (608) 835-3579

Interoperability endpoints

  • Direct secure messaging: callie.enyart@direct.revolutionehr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730165861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W NETHERWOOD RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751100",
            "telephone_number": "608-835-3579",
            "fax_number": "608-835-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W NETHERWOOD RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751100",
            "telephone_number": "608-835-3579",
            "fax_number": "608-835-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYART",
        "first_name": "CALLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

Verify at the official NPI Registry.