James B Kivlin, OD, TPA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1539-035 Issued in WI

Practice address

2303 Schneider Ave SE
Suite#100
Menomonie, WI 54751-7005

Phone

(715) 235-3838

Fax

(715) 235-3846

NPI assigned

Jun 23, 2006

Last updated

Feb 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Illinois College of Optometry at Chicago, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Practice addresses (Care Compare)

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.

• Aeg Wisconsin Professional LTD

  dba Christenson Vision Care

  • Optometrist
  • Hudson, WI
  • NPI 1407801087
  Medicare reassignment Care Compare group NPD
• Kivlin Eye Clinic SC

  • Optometrist
  • Menomonie, WI
  • NPI 1336216472
  Authorized official Same address or phone

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1881620854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "address_2": "SUITE#100",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-235-3838",
            "fax_number": "715-235-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "address_2": "SUITE#100",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-235-3838",
            "fax_number": "715-235-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVLIN",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD, TPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1539-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38564800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0523040001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose M Keys, FNP
• Kilimanjaro LLC
• Seok Yeong Kim, PHARM.D
• Joseph Mariner Kindred, LMFT
• Kivlin Eye Clinic SC
• Jessica Kleist
• John Klem, PH.D., LPC
• Tonya Klem, ED.S
• Brooke Michele Kluck
• Lindsey Nicole Knopps, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.