Individual provider Active NPI

Francie Laeyendecker, OD

  • Optometrist
  • Menasha, WI
National Provider Identifier
1962477240
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2598 Issued in WI
Practice address
878 W Airport Rd
Menasha, WI 54952-1461
Phone
(920) 806-3005
Fax
(920) 806-3004
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2598 WI Primary

Addresses

Primary practice location

878 W Airport Rd
Menasha, WI 54952-1461

Mailing address

878 W Airport Rd
Menasha, WI 54952-1461
Phone (920) 806-3005

Other practice location 1

1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 806-3005

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
I20110822000430 WI Practitioner - Optometry 7618147018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Eye Consultants S. C.Group PAC ID 4183159528, 4 clinicians

Practice addresses (Care Compare)

878 W Airport Rd
Menasha, WI 54952-1461
Phone (920) 806-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2598WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Eye Consultants S. C. Optometrist CurrentSince Sep 28, 2024 Accepting new patients
Valley Eye Associates Optometrist Past Accepting new patients
Park Place Optical, LTD Past Accepting new patients

Locations

878 W Airport Rd
Menasha, WI 54952
Phone (920) 727-5982

1855 S Koeller St
Oshkosh, WI 54902
Phone (920) 223-7010

Interoperability endpoints

  • Direct secure messaging: flaeyendecker@wisconsineye.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1962477240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 S Koeller St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549026186",
            "country_code": "US",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAEYENDECKER",
        "first_name": "FRANCIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.