Colin James Sigmund, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3691 Issued in WI

Practice address

1543 Park PL Ste 400
Green Bay, WI 54304-1970

Phone

(920) 497-0100

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Indiana University - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Eye AssociatesGroup PAC ID 5395633580, 25 clinicians

Practice addresses (Care Compare)

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.

• Valley Eye Associates

  • Optometrist
  • Appleton, WI
  • NPI 1699789032
  Medicare reassignment Care Compare group NPD
• Park Place Optical, LTD

  • Optician
  • Appleton, WI
  • NPI 1255465738
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1811568850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E WALNUT ST APT 710",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014226",
            "telephone_number": "920-639-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 PARK PL STE 400",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041970",
            "telephone_number": "920-497-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMUND",
        "first_name": "COLIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "colin.sigmund@thedacare.org",
            "affiliation": "N",
            "address_1": "1543 Park Pl Ste 400",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543041970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orlando Sierralta
• Tanya Mae Sievert, APNP
• Lucas Joseph Sieving
• Dana Rae Sigl, RN
• Jessica Sigl, PT
• Amber G Silva, APNP
• Frantz Merveilleux Simon
• Jaimie Simon, SAC, LPC
• John Simonet, RPH
• Mark Thomas Simonson, BS

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.