Individual provider Active NPI

Brittany S Lemke, O.D.

  • Optometrist
  • Tomahawk, WI
National Provider Identifier
1851739635
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3311-35 Issued in WI
Practice address
318 N 6TH St
Tomahawk, WI 54487-1423
Phone
(715) 453-3636
Fax
(715) 453-3389
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3311-35 WI Primary

Addresses

Primary practice location

318 N 6TH St
Tomahawk, WI 54487-1423

Mailing address

318 N 6TH St
Tomahawk, WI 54487-1423
Phone (715) 453-3636

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
I20130717000844 WI Practitioner - Optometry 7012157993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Sight Vision Clinic LLCGroup PAC ID 6204935935, 3 clinicians

Practice addresses (Care Compare)

104 A N Argyle Ave
Phillips, WI 54555-1227
Phone (715) 339-2040

82 Hometown Dr
Tomahawk, WI 54487-3300
Phone (715) 453-3636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3311-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Sight Vision Clinic, LLC Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Northern Sight Vision Clinic, LLC Optometrist Current Accepting new patients

Locations

104A N Argyle Ave
Phillips, WI 54555
Phone (715) 339-2040

82 Hometown Dr
Tomahawk, WI 54487
Phone (715) 453-3636

318 N 6th St
Tomahawk, WI 54487
Phone (715) 453-3636

Organizations & group practices 2

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1851739635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N 6TH ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871423",
            "telephone_number": "715-453-3636",
            "fax_number": "715-453-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N 6TH ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871423",
            "telephone_number": "715-453-3636",
            "fax_number": "715-453-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "BRITTANY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3311-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomahawk, WI

Sources for this page

Verify at the official NPI Registry.