Kelly Lyn Schermeister, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3185 Issued in WI

Practice address

14320 W Greenfield Ave
Brookfield, WI 53005-7036

Phone

(262) 786-2020

Fax

(262) 786-1615

NPI assigned

Jul 12, 2010

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

Other names 1

• Dr. Kelly Lyn Collins Former name

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

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Site Vision Care Center IncGroup PAC ID 1456253558, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Site Vision Care Center Inc

  • Optometrist
  • New Berlin, WI
  • NPI 1467664680
  Medicare reassignment Care Compare group NPD
• Hypnos, Inc.

  dba Krissy Connor DDS

  • Dentist
  • Brookfield, WI
  • NPI 1811398654
  NPD (past)
• Valley Vision Clinic SC

  • Optometrist
  • Neenah, WI
  • NPI 1477522324
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1790097343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057036",
            "telephone_number": "262-786-2020",
            "fax_number": "262-786-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14320 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057036",
            "telephone_number": "262-786-2020",
            "fax_number": "262-786-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMEISTER",
        "first_name": "KELLY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "COLLINS",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dean Phillip Scheels, PT
• Jessica Louise Scheid-Traversie
• Clint Edward Scheidler, RPH
• Michelle Scheler, OTR
• Mary Scherer, PTA
• John F Schesta, PH.D
• Monica Maureen Schieble, OT
• Megan Schiferl, LPC-IT
• Schilder Chiropractic LLC
• Abigail Schiller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.