Active NPI
Jonathan George Menos, O.D.
- Optometrist
- Shawano, WI
National Provider Identifier
1932580537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3378-35
- Practice address
- 115 Alpine CT
Shawano, WI 54166-2048 - Phone
- (715) 526-3163
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3378-35 | WI | Primary |
Addresses
Primary practice location
115 Alpine CT
Shawano, WI 54166-2048
Mailing address
1255 Appleton Rd
Menasha, WI 54952-1501
Phone (920) 722-6872
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Appleton Rd
Menasha, WI 54952-1501
Phone (920) 722-6872
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacular Visions LTD | Optometrist | Past | Accepting new patients |
| Community Eyecare Inc | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- drmenos@community-eyecare-inc.direct.kno2fy.com
Organizations & group practices 3
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.
-
- Optometrist
- Brillion, WI
- NPI 1548457757
-
- Optometrist
- Menasha, WI
- NPI 1861463234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1932580537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 APPLETON RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521501",
"telephone_number": "920-722-6872",
"fax_number": "920-722-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ALPINE CT",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662048",
"telephone_number": "715-526-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOS",
"first_name": "JONATHAN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3378-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.