Nicholas Konwinski

Primary specialty

OptometristTaxonomy code 152W00000X

License

3458-35 Issued in WI

Practice address

955 W Clairemont Ave
Eau Claire, WI 54701-6103

Phone

(715) 832-7723

NPI assigned

May 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chippewa Valley Eye Clinic SCGroup PAC ID 0446395800, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.88 of 100Reported as group

Quality

94.46

Improvement activities

40

Cost

73.68

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.

• Chippewa Valley Eye Clinic Chippewa Falls SC

  • Ophthalmologic Surgery Clinic/Center
  • Chippewa Falls, WI
  • NPI 1487710638
  Medicare reassignment Care Compare group NPD
• Chippewa Valley Eye Clinic SC

  • Optician
  • Chippewa Falls, WI
  • NPI 1508891706
  NPD
• Shopko Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1730616129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 180TH ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547299165",
            "telephone_number": "715-828-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016103",
            "telephone_number": "715-832-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONWINSKI",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3458-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Komp Webb, PT
• Ann Marie Kondrad, PH.D., BCBA, LBA
• Travis W Koniar, MA
• Kendra Ann Konkel
• Britany M Konsela, PTA
• Jon P Konzen, DO
• Rebekah Konzen
• Kevin Paul Kooiker, MD
• Britney Gail Kopp, LCSW
• Jordan Koranda

• Optometrist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.