Individual provider Active NPI

Paul Andrew Filar, O.D.

  • Optometrist
  • Sturgeon Bay, WI
National Provider Identifier
1912955618
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3003 Issued in WI
Practice address
1426 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240
Phone
(920) 743-5053
Fax
(920) 743-8802
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 3003 WI Primary

Addresses

Primary practice location

1426 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240

Mailing address

1426 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240
Phone (920) 743-5053

Other identifiers 1

IdentifierTypeStateIssuer
38624800MedicaidWI

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
I20041118001018 WI Practitioner - Optometry 5496719494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1426 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240
Phone (920) 743-5053

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
74.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3003WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Vision Care LLC Optometrist CurrentSince Oct 30, 2004 Accepting new patients

Locations

50 S Madison Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5053

1426 Egg Harbor Rd
Sturgeon Bay, WI 54235
Phone (920) 743-5053

1532 Michigan St
Sturgeon Bay, WI 54235
Phone (920) 265-0780

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1912955618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-5053",
            "fax_number": "920-743-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-5053",
            "fax_number": "920-743-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILAR",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38624800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.