Danielle J Irvine, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3589-35 Issued in WI

Practice address

309 N Franklin St
Port Washington, WI 53074-1905

Phone

(262) 261-5252

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

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.

• Wisconsin Vision, LLC

  • Optometrist
  • New Berlin, WI
  • NPI 1134179427
  Medicare reassignment Care Compare group NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Brookfield, WI
  • NPI 1457890220
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Janesville, WI
  • NPI 1548308745
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Milwaukee, WI
  • NPI 1538207717
  NPD (past)
• Boyce Family Eye Care, LTD.

  • Optometrist
  • Park Ridge, IL
  • NPI 1962734129
  NPD (past)
• Central Dupage Vision Center Inc.

  • Optometrist
  • Winfield, IL
  • NPI 1972841393
  NPD (past)
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1760745871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E COLORADO ST APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072271",
            "telephone_number": "262-689-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N FRANKLIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741905",
            "telephone_number": "262-261-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010557",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046010557",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3589-35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "502720065",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendal Joel Hoard, DC
• Horizon Healthcare, Inc
• HSL 3, LLC
• Taylor Husom
• Individual Growth Serivces, Inc.
• Austin Allen Iverson, DMD
• Sandra Jacques, LCSW
• Erik Riley Jeanes, D.O.
• Kenneth F. Jensen Jr., M.D.
• Christina M Johnson, CAPSW, SAC-IT

• Optometrist in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.