Individual provider Active NPI

Andrew James Lindell, O.D.

  • Optometrist
  • Stoughton, WI
National Provider Identifier
1942593389
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3401-35 Issued in WI
Practice address
2300 US Highway 51 and 138
Suite E
Stoughton, WI 53589-2080
Phone
(608) 205-2293
Fax
(608) 205-6813
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002501 PA
Optometrist 152W00000X 007816 NY
Optometrist 152W00000X 3401-35 WI Primary

Addresses

Primary practice location

2300 US Highway 51 and 138
Suite E
Stoughton, WI 53589-2080

Mailing address

2300 US Highway 51 and 138
Suite E
Stoughton, WI 53589-2080
Phone (608) 205-2293

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
I20160623001568 WI Practitioner - Optometry 6204099963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stoughton Eye Care and Eyewear LLCGroup PAC ID 0042509242, 2 clinicians

Practice addresses (Care Compare)

2300 US Hwy 51 and 138
Suite E
Stoughton, WI 53589-2080
Phone (608) 205-2293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002501PAMDOptometrist
3401-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stoughton Eye Care & Eyewear LLC Optometrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

2300 US Highway 51 and 138
Ste E
Stoughton, WI 53589
Phone (608) 205-2293

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1942593389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 US HIGHWAY 51 AND 138",
            "address_2": "SUITE E",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892080",
            "telephone_number": "608-205-2293",
            "fax_number": "608-205-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 US HIGHWAY 51 AND 138",
            "address_2": "SUITE E",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892080",
            "telephone_number": "608-205-2293",
            "fax_number": "608-205-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDELL",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002501",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007816",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3401-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

Verify at the official NPI Registry.