Theothota Bairaktaris Meek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3540 Issued in WI

Practice address

11340 N PT Washington Rd
Mequon, WI 53092-3412

Phone

(262) 240-0455

NPI assigned

Feb 6, 2019

Last updated

May 17, 2022By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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.

• Wisconsin Vision, LLC

  • Optometrist
  • Waukesha, WI
  • NPI 1801934807
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Glendale, WI
  • NPI 1023324811
  NPD (past)
• Wisconsin Vision, LLC

  • Optometrist
  • Madison, WI
  • NPI 1447398649
  NPD (past)
• Wisconsin Vision, LLC

  • Optometrist
  • Appleton, WI
  • NPI 1770621971
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1730644477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 N PT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923412",
            "telephone_number": "262-240-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "THEOTHOTA",
        "middle_name": "BAIRAKTARIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruna Medeiros Lupo
• Medical Rehabilitation Associates, S.C.
• Grace Medici
• Kalie Medrano
• Medstar Georgetown Medical Center, Inc (GUH Global Claims Admin)
• Julie Anne Melbinger-Wagner, DDS
• Jennifer Lynn Melcher, RD
• Maya Elizabeth Melchert
• Melissa L del Rosario LLC (Melissa L Del Rosario)
• Mequon Chiropractic Office SC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.