Individual provider Active NPI

Mithaq Vahedi, M.D.

  • Ophthalmology Physician
  • Eau Claire, WI
National Provider Identifier
1942565890
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
83403 Issued in WI
Practice address
2116 Craig Rd
Eau Claire, WI 54701-6149
Phone
(715) 858-4770
Fax
(715) 858-4509
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301100583 MI
Emergency Medicine Physician 207P00000X 83403 WI
Ophthalmology Physician 207W00000X 2022006661 MO
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 8340320 WI
Student in an Organized Health Care Education/Training Program 390200000X BP10086196 TX
Ophthalmology Physician 207W00000X 83403 WI Primary
Emergency Medicine Physician 207P00000X 277593 NY
Emergency Medicine Physician 207P00000X 4301100583 MI

Addresses

Primary practice location

2116 Craig Rd
Eau Claire, WI 54701-6149

Mailing address

2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 858-4770

Other practice location 1

1000 N Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 387-5511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190620000474 MI Practitioner - OphthalmologyPractitioner - Emergency Medicine 7810128113 Reassigns benefits to 1 organization
I20240731002421 WI Practitioner - OphthalmologyPractitioner - Emergency Medicine 7810128113 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Chippewa Valley Eye Clinic SCGroup PAC ID 0446395800, 5 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100

2525 County Hwy I
Chippewa Falls, WI 54729-1422
Phone (715) 723-9375

Hospital & facility affiliations

  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8340320WIMDGlaucoma Specialist (Ophthalmology) Physician
BP10086196TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Jul 18, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 18, 2024 Accepting new patients
Chippewa Valley Eye Clinic SC Ophthalmology CurrentSince Apr 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 18, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 18, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 18, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Livonia Ophthalmologists PC Ophthalmology CurrentSince Nov 18, 2020 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 18, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 18, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 18, 2024 Accepting new patients
Chippewa Valley Eye Clinic Chippewa Falls SC CurrentSince Apr 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 18, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 18, 2024 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

29927 6 Mile Rd
Livonia, MI 48152
Phone (313) 522-0800

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

2525 County Highway I
Chippewa Fls, WI 54729
Phone (715) 723-6520

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1942565890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016149",
            "telephone_number": "715-858-4770",
            "fax_number": "715-858-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016149",
            "telephone_number": "715-858-4770",
            "fax_number": "715-858-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Avenue",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHEDI",
        "first_name": "MITHAQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301100583",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "83403",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2022006661",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "WI",
            "license": "8340320",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10086196",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "83403",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "277593",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301100583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Avenue",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.