Stephanie Meyer
Individual provider Active NPI Optometrist · Altoona, WI
NPI 1821541046 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1821541046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3420-35 (WI)
- Practice address
- 3063 Meadowlark LN
#10
Altoona, WI 54720 - Phone
- (715) 834-8858
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frie Optometry, LLC
Practice addresses (Care Compare)
3063 Meadowlark LN
Suite 10
Altoona, WI 54720-2656
3063 Meadowlark LN
Suite 10
Altoona, WI 54720-2660
Phone (715) 514-1289
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815000869 | WI | Practitioner - Optometry | 8325332398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3420 | WI | MD | Registered Dietitian |
| 3420-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frie Optometry LLC | Optometrist | Current |
Accepting new patients |
| Independent Vision Group, LTD | Past | Accepting new patients |
Locations
3063 Meadowlark Ln
Ste 10
Altoona, WI 54720
Phone (715) 514-1289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3420-35 | WI | Yes |
Addresses
Primary practice location
3063 Meadowlark LN
#10
Altoona, WI 54720
Mailing address
3063 Meadowlark LN
#10
Altoona, WI 54720
Phone (715) 834-8858
NPI Registry JSON
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1821541046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 MEADOWLARK LN",
"address_2": "#10",
"city": "ALTOONA",
"state": "WI",
"postal_code": "54720",
"telephone_number": "715-834-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 MEADOWLARK LN",
"address_2": "#10",
"city": "ALTOONA",
"state": "WI",
"postal_code": "54720",
"telephone_number": "715-834-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3420-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.