Individual provider Active NPI

Craig E Sylte, O.D.

  • Optometrist
  • New London, WI
National Provider Identifier
1770712903
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3155-35 Issued in WI
Practice address
105 Northridge Dr
New London, WI 54961-2703
Phone
(920) 982-3711
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3155-35 WI Primary

Addresses

Primary practice location

105 Northridge Dr
New London, WI 54961-2703

Mailing address

105 Northridge Dr
New London, WI 54961-2703

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
I20090911000394 WI Practitioner - Optometry 4688729833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griebenow Eyecare, S.C.Group PAC ID 0941259501, 3 clinicians

Practice addresses (Care Compare)

105 Northridge Dr
New London, WI 54961-2703
Phone (920) 982-3711

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
76.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griebenow Eyecare, S.C. Optometrist CurrentSince Jul 20, 2009 Accepting new patients
Griebenow Eyecare, S.C. Optometrist CurrentSince Jul 20, 2009 Accepting new patients

Locations

45 10th St
Clintonville, WI 54929
Phone (715) 823-5112

105 Northridge Dr
New London, WI 54961
Phone (920) 982-3567

105 Northridge Dr
#2
New London, WI 54961
Phone (920) 982-3711

Organizations & group practices 2

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1770712903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NORTHRIDGE DR",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHRIDGE DR",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612703",
            "telephone_number": "920-982-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLTE",
        "first_name": "CRAIG",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3155-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, WI

Sources for this page

Verify at the official NPI Registry.