Active NPI
Dave A. Ziegler, O.D.
- Optometrist
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1848
- Practice address
- 14151 W National Ave Ste 102
New Berlin, WI 53151-4528 - Phone
- (414) 541-2100
- Fax
- (414) 541-2377
- NPI assigned
- Feb 14, 2006
- Last updated
- Apr 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1848 | WI | Primary |
Addresses
Primary practice location
14151 W National Ave Ste 102
New Berlin, WI 53151-4528
Mailing address
14151 W National Ave Ste 102
New Berlin, WI 53151-4528
Phone (414) 541-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38521200 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1848 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
Locations
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020
14151 W National Ave
New Berlin, WI 53151
Phone (414) 541-2100
14151 W National Ave
Ste 102
New Berlin, WI 53151
Phone (414) 541-2100
Organizations & group practices 3
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": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1770557076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14151 W NATIONAL AVE STE 102",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514528",
"telephone_number": "414-541-2100",
"fax_number": "414-541-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14151 W NATIONAL AVE STE 102",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514528",
"telephone_number": "414-541-2100",
"fax_number": "414-541-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "DAVE",
"middle_name": "A.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38521200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.