Organization Active NPI

Tower Clock Eye Center SC

  • Ophthalmology Physician
  • Green Bay, WI
National Provider Identifier
1801998729
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TOWER CLOCK EYE CENTER SC
Practice address
1087 W Mason Street
Green Bay, WI 54303-1859
Phone
(920) 499-3102
Fax
(920) 499-9636
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Danielle Marie Jorgensen
Title
Practice Administrator
Phone
(920) 593-5724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1087 W Mason Street
Green Bay, WI 54303-1859

Mailing address

1087 W Mason Street
Green Bay, WI 54303-1859
Phone (920) 499-3102

Other identifiers 1

IdentifierTypeStateIssuer
31303300MedicaidWI

Other names 1

  • Karl L Schwiesow MD SC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050309000149 WI Part B Supplier - Clinic/Group Practice 6305890781 Receives reassigned benefits from 8 practitioners
Practice locations: Green Bay, WI
O20100930052752 WI DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6305890781 Practice locations: Green Bay, WI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2112004Tower Clock Eye Center, SC1087 W Mason St, Green Bay, WI 54303Certificate of waiverApr 19, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tower Clock Eye Center SC1087W Mason St, Green Bay, WI 54303-1859(920) 499-3102 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Karl L Schwiesow MD SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1087 W Mason St
Ste 1
Green Bay, WI 54303

1087 W Mason St
Green Bay, WI 54303
Phone (920) 499-3102

229 E Green Bay St
Shawano, WI 54166
Phone (920) 499-3102

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1801998729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 W MASON STREET",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031859",
            "telephone_number": "920-499-3102",
            "fax_number": "920-499-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 W MASON STREET",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031859",
            "telephone_number": "920-499-3102",
            "fax_number": "920-499-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER CLOCK EYE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "920-593-5724"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31303300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karl L Schwiesow MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Karl L Schwiesow MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.