Erika Mish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3077 Issued in WI

Practice address

1155 W Winneconne Ave
Neenah, WI 54956-3693

Phone

(920) 722-1541

NPI assigned

Jul 9, 2007

Last updated

Feb 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  dba Shopko Optical 4004

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1710543228

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Shopko Stores Operating Co LLC

  dba ShopKo Pharmacy 024

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)
• Shoptikal LLC

  dba Shopko Optical 4050

  • Eyewear Supplier
  • Fond Du Lac, WI
  • NPI 1205492675

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1912105255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W JOHNSON ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353134",
            "telephone_number": "920-921-8290",
            "fax_number": "920-921-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W WINNECONNE AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563693",
            "telephone_number": "920-722-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISH",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc J. Miller, MD
• Zonea Mims
• Ministry Home Care Services, LLC (Affinity Home Care Plus)
• Ministry Home Care, LLC. (Ascension at Home)
• Ministry Home Care, LLC. (Ascension at Home)
• Michael J. Miskulin, OD
• Emma Mitchell
• James Robert Mitchell, MD
• Christopher M Mjaanes, MD
• Joshua K Modder, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.