Roxanne Doyle Keszo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2963-035 Issued in WI

Practice address

150A County Rd B
Shawano, WI 54166-7072

Phone

(715) 526-3163

Fax

(715) 526-4019

NPI assigned

Feb 21, 2006

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Ferris State College - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• 1 Vision S.C.

  • Optometrist
  • Shawano, WI
  • NPI 1033197397
  Medicare reassignment
• Shoptikal LLC

  dba Shopko Optical 4286

  • Eyewear Supplier
  • New Richmond, WI
  • NPI 1144947565

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Jorgensen, Schulz and Associates Eyecare Center, SC

  • Optometrist
  • Appleton, WI
  • NPI 1588784979
  NPD (past)
• Spectacular Visions LTD

  • Eyewear Supplier
  • Clintonville, WI
  • NPI 1093725103

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1821063009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541660513",
            "telephone_number": "715-526-3163",
            "fax_number": "715-526-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A COUNTY RD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-526-3163",
            "fax_number": "715-526-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE KESZO",
        "first_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2963-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Divjak, MD
• Rebecca L Donnay, DPT
• Casey Dorsch, DDS
• John Milton Dovorany, DDS
• Bree Downie
• Dreier Pharmacy and Gift Shop Inc
• Dreier Pharmacy and Gift Shop Inc
• Timothy Dreier, RPH
• Cassandra Ebeling
• Rebecca A Egan, MSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.