Individual provider Active NPI

Anna N. Hetzer, OD

  • Optometrist
  • Milwaukee, WI
National Provider Identifier
1851950349
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3557-35 Issued in WI
Practice address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone
(414) 672-1353
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3557-35 WI Primary

Addresses

Primary practice location

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203

Mailing address

PO Box 778789
Chicago, IL 60677-8789
Phone (414) 672-1353

Other practice location 1

1280 N Summit Ave
Oconomowoc, WI 53066-4459
Phone (262) 567-3214

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
I20190617001486 WI Practitioner - Optometry 9436482833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Eye Care Associates SC 9 clinicians

Practice addresses (Care Compare)

1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3557-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Eye Care Associates S.C. Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Milwaukee Eye Care Associates S.C. Past Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist Past Accepting new patients

Locations

8909 N Port Washington Rd
Unit 210
Bayside, WI 53217

17280 W North Ave
Ste 100
Brookfield, WI 53045
Phone (414) 271-2020

7095 S Ballpark Dr
Apt 210
Franklin, WI 53132
Phone (414) 271-2020

1684 N Prospect Ave
Milwaukee, WI 53202
Phone (414) 271-2020

Interoperability endpoints

  • Direct secure messaging: ahetzer361048@direct.ochin.org

Organizations & group practices 7

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1851950349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778789",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606778789",
            "telephone_number": "414-672-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042203",
            "telephone_number": "414-672-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 N Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664459",
            "country_code": "US",
            "telephone_number": "262-567-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETZER",
        "first_name": "ANNA",
        "middle_name": "N.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3557-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.