Individual provider Active NPI

Joseph Allen Delgado, OD

  • Optometrist
  • New Holstein, WI
National Provider Identifier
1841032224
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4018-35 Issued in WI
Practice address
1405 Milwaukee Dr
New Holstein, WI 53061-1430
Phone
(920) 898-5531
Fax
(920) 898-1581
NPI assigned
Jun 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4018-35 WI Primary

Addresses

Primary practice location

1405 Milwaukee Dr
New Holstein, WI 53061-1430

Mailing address

500 Fremont St
Kiel, WI 53042-1319
Phone (920) 894-2727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240806000082 WI Practitioner - Optometry 2264979418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Wisconsin LLCGroup PAC ID 5890033716, 27 clinicians

Practice addresses (Care Compare)

1515 6TH St
Green Bay, WI 54304-2272
Phone (920) 499-2147

2305 30TH Ave
Kenosha, WI 53144-1411
Phone (262) 597-2020

535 S Monroe Ave
Green Bay, WI 54301-4017
Phone (920) 435-9511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Eye Care Center of New Holstein, LLC Optometrist CurrentSince Jul 9, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

1515 6th St
Green Bay, WI 54304
Phone (920) 499-2147

535 S Monroe Ave
Green Bay, WI 54301
Phone (920) 435-9511

2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020

500 Fremont St
Kiel, WI 53042
Phone (920) 894-2727

1405 Milwaukee Dr
New Holstein, WI 53061
Phone (920) 898-5531

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1841032224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FREMONT ST",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421319",
            "telephone_number": "920-894-2727",
            "fax_number": "920-894-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILWAUKEE DR",
            "city": "NEW HOLSTEIN",
            "state": "WI",
            "postal_code": "530611430",
            "telephone_number": "920-898-5531",
            "fax_number": "920-898-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4018-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holstein, WI

Sources for this page

Verify at the official NPI Registry.