Daniel R Everts, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2753 Issued in WI

Practice address

308 W Fulton St
Waupaca, WI 54981

Phone

(715) 258-8168

Fax

(715) 258-8436

NPI assigned

Jan 30, 2006

Last updated

Jul 18, 2011By 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

Other identifiers 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

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Advanced Family EyecareGroup PAC ID 5890718142, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.73 of 100Reported as group

Quality

99.46

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.everts@direct.revolutionehr.com

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.

• Advanced Family Eyecare

  • Optometrist
  • Waupaca, WI
  • NPI 1578640223
  Medicare reassignment Care Compare group NPD Authorized official
• Aeg Wisconsin Professional LTD

  dba Christenson Vision Care

  • Optometrist
  • Hudson, WI
  • NPI 1407801087
  Medicare reassignment Care Compare group
• Ophthalmic Surgery of Wi LTD

  • Ophthalmology Physician
  • Oshkosh, WI
  • NPI 1093881609
  NPD (past)
• Ophthalmic Surgery of Wi LTD

  • Eyewear Supplier
  • Oshkosh, WI
  • NPI 1578617957
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1811968878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W FULTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981",
            "telephone_number": "715-258-8168",
            "fax_number": "715-258-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W FULTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981",
            "telephone_number": "715-258-8168",
            "fax_number": "715-258-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTS",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38716100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Anna Esbensen, LPC, NCC
• Magdy Eskander
• Deogracias R Estrada, M.D.
• Danielle Evers, PHARMD
• Trisha Ann Everson, PA-C
• Jacqueline Ann Everts
• Extendicare Homes, Inc. (Crystal River Nursing & Rehabilitation Center)
• Family Foot and Ankle Clinic LLC
• Chelsea Fay, APNP
• Deborah L Ferguson, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.