Micki Maureen Flynn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3002-035 Issued in WI

Practice address

2215 Vine St
Suite E
Hudson, WI 54016-5802

Phone

(715) 381-1234

Fax

(715) 381-5357

NPI assigned

May 6, 2006

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rivertown Eye Care PAGroup PAC ID 2769452234, 3 clinicians

Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Wisconsin Professional LTD

  dba Christenson Vision Care

  • Optometrist
  • Hudson, WI
  • NPI 1407801087
  Medicare reassignment Care Compare group NPD
• Rivertown Eye Care PA

  dba Rivertown Eye Care

  • Optometrist
  • Hastings, MN
  • NPI 1801819941
  Medicare reassignment Care Compare group NPD
• Osceola Family Eyecare LLC

  dba Osceola Family Eyecare

  • Optometrist
  • Osceola, WI
  • NPI 1578865747
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1972552289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 VINE STREET",
            "address_2": "SUITE E",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-381-1234",
            "fax_number": "715-381-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 VINE ST",
            "address_2": "SUITE E",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165802",
            "telephone_number": "715-381-1234",
            "fax_number": "715-381-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MICKI",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3002-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sterton Fisher, MA, CCC-SLP
• Stephen Gary Flikke, DC
• Nuala Flood, DO
• Sean Paul Flood, M.D.
• Melissa Beatrice Floysand, OTR
• Lee Andrew Folstad, L.M.F.T.
• Forefront Dermatology, S.C.
• Elaine Mary Forsman
• Courtney Marie Foulker
• Grace Marie Franey

• Optometrist in Hudson, WI
• Providers in Hudson, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.

Verify at the official NPI Registry.