Sandrine Tagni Kounga, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3394-35 Issued in WI

Practice address

4101 N 56TH St
Milwaukee, WI 53216-1267

Phone

(414) 447-9403

NPI assigned

Aug 25, 2015

Last updated

Feb 25, 2021By 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

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

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.

• Luxottica of America Inc

  dba Lenscrafters #287

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1174622583
  Medicare reassignment NPD
• Luxottica of America Inc

  dba Target Optical #1984

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659423275
  NPD
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD
• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Milwaukee, WI
  • NPI 1649202201
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1992172951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N 56TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161267",
            "telephone_number": "414-447-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N 56TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161267",
            "telephone_number": "414-447-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Phillips Ave",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021515504",
            "country_code": "US",
            "telephone_number": "617-650-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGNI KOUNGA",
        "first_name": "SANDRINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3394-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Tadych, RN
• Brittany Jean Taerud, PTA
• Stephanie K Taff, RD
• Samuel Taft, PHARMD
• Taylor Taglienti, MS, LPC, NCC
• David Michael Tague
• Taha Medical Center
• Mohamed M Taha, MD
• Sartu Taha
• Janine Elsa Arlene Taitt-Tap, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.