Individual provider Active NPI

Daniel J. Dewinter, O.D.

  • Optometrist
  • Muskego, WI
National Provider Identifier
1790754968
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2423-035 Issued in WI
Practice address
S75W17475 Janesville Rd
Muskego, WI 53150-9378
Phone
(262) 679-1420
Fax
(262) 679-3810
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2423-035 WI Primary

Addresses

Primary practice location

S75W17475 Janesville Rd
Muskego, WI 53150-9378

Mailing address

PO Box 547
Muskego, WI 53150-0547
Phone (262) 679-1420

Other identifiers 1

IdentifierTypeStateIssuer
38589900MedicaidWI

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
I20101215000920 WI Practitioner - Optometry 6709074891 Reassigns benefits to 1 organization
Practice locations: Muskego, WI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewinter Eye Care Center LLCGroup PAC ID 7214356732, 2 clinicians

Practice addresses (Care Compare)

S73W16437 Janesville Rd
Muskego, WI 53150-9723
Phone (262) 679-1420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2423-035WIMDOptometrist
2423WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dewinter Eye Care Center, LLC Optometrist CurrentSince Sep 2, 2020 Accepting new patients
Tomczak Chiropractic Office LLC Past Accepting new patients

Locations

S73W16437 Janesville Rd
Muskego, WI 53150
Phone (262) 679-1420

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790754968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531500547",
            "telephone_number": "262-679-1420",
            "fax_number": "262-679-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S75W17475 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509378",
            "telephone_number": "262-679-1420",
            "fax_number": "262-679-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWINTER",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2423-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38589900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.