Individual provider Active NPI

Michelle Marie Harper, O. D.

  • Optometrist
  • Sturgeon Bay, WI
National Provider Identifier
1760440382
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2548-075 Issued in WI
Practice address
1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Phone
(920) 743-8884
Fax
(920) 743-2519
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2548-075 WI Primary

Addresses

Primary practice location

1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819

Mailing address

1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Phone (920) 743-8884

Other identifiers 1

IdentifierTypeStateIssuer
38603600MedicaidWI

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
I20071019000657 WI Practitioner - Optometry 5294821369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Phone (920) 743-8884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2548-075WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Optical, S.C. Optometrist CurrentSince Jan 1, 1999 Accepting new patients

Locations

1236 Green Bay Rd
Sturgeon Bay, WI 54235
Phone (920) 743-8884

Interoperability endpoints

  • Direct secure messaging: drharper@clearviewoptical.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1760440382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 GREEN BAY RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353819",
            "telephone_number": "920-743-8884",
            "fax_number": "920-743-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 GREEN BAY RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353819",
            "telephone_number": "920-743-8884",
            "fax_number": "920-743-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2548-075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38603600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.