Individual provider Active NPI

Bartlomiej Celer, OD

  • Optometrist
  • Pewaukee, WI
National Provider Identifier
1790459758
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3695 Issued in WI
Practice address
443 Pewaukee Rd
Pewaukee, WI 53072-5886
Phone
(262) 956-6700
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3695 WI Primary

Addresses

Primary practice location

443 Pewaukee Rd
Pewaukee, WI 53072-5886

Mailing address

10103 Ashley St
Huntley, IL 60142-2347
Phone (224) 325-2186

Other practice location 1

18200 W Capitol Dr Unit 103
Brookfield, WI 53045-1445
Phone (262) 393-2020

Other practice location 2

6701 S 27th St
Franklin, WI 53132-9430
Phone (414) 761-9560

Other practice location 3

10600 W Layton Ave
Greenfield, WI 53228-3258
Phone (414) 529-0455

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
I20220517000505 WI Practitioner - Optometry 9830576693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10600 W Layton Ave
Greenfield, WI 53228-3258
Phone (414) 828-0132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Partners of Wisconsin LLC Optometrist CurrentSince May 12, 2024 Accepting new patients
Lake Country Eye Care, LLC Optometrist CurrentSince Jan 28, 2022 Accepting new patients
Holtebeck Eye Center SC Optometrist PastSince Apr 25, 2021 Accepting new patients

Locations

18200 W Capitol Dr
Ste 103
Brookfield, WI 53045
Phone (262) 393-2020

6701 S 27th St
Franklin, WI 53132
Phone (414) 761-9560

520 Hartbrook Dr
Ste F
Hartland, WI 53029
Phone (262) 367-6610

520 Hartbrook Dr
#F
Hartland, WI 53029
Phone (262) 367-6610

520 Hartbrook Dr
Hartland, WI 53029
Phone (262) 367-6610

10600 W Layton Ave
Milwaukee, WI 53228
Phone (414) 529-0455

443 Pewaukee Rd
Pewaukee, WI 53072
Phone (262) 956-6700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1790459758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 ASHLEY ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422347",
            "telephone_number": "224-325-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 PEWAUKEE RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725886",
            "telephone_number": "262-956-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18200 W Capitol Dr Unit 103",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530451445",
            "country_code": "US",
            "telephone_number": "262-393-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329430",
            "country_code": "US",
            "telephone_number": "414-761-9560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 W Layton Ave",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532283258",
            "country_code": "US",
            "telephone_number": "414-529-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELER",
        "first_name": "BARTLOMIEJ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.