GRIEBENOW EYECARE, S.C.
NPI 1003045402
Optometrist in Clintonville, WI

Active since July 07, 2009CLIA Certified · 2 labs
45 10TH ST., CLINTONVILLE, WI 54929(715) 823-5112(715) 823-5959 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Griebenow Eyecare, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRIEBENOW EYECARE, S.C. (NPI 1003045402), doing business as Griebenow Eyecare Clintonville, is a healthcare organization registered as an optometrist in Clintonville, Wisconsin and active in the NPI registry since July 2009. The organization holds 2 active CLIA laboratory certificates and lists Melissa Sylte, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1003045402
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRIEBENOW EYECARE, S.C.
Location Address45 10TH ST.Clintonville, WI 54929
Mailing AddressPo Box 230New London, WI 54961-0230 · (920) 982-3711 · Fax (715) 823-5959
Fax(715) 823-5959
Organization SubpartYes
Authorized OfficialMelissa SylteBusiness Manager · (920) 982-3711
Enumeration DateJuly 7, 2009
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1003045402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1666
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
45 10TH ST., Clintonville, WI 54929

Other Names 1

Doing Business AsGriebenow Eyecare Clintonville

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Griebenow Eyecare, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Griebenow Eyecare, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1922514447
45 10TH ST
Clintonville, WI 54929
(715) 823-5112
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1992234595
105 NORTHRIDGE DR
New London, WI 54961
(920) 982-3711
✔ PECOS✔ Accepts Medicare15 mi
Optometry
NPI 1770712903
105 NORTHRIDGE DR
New London, WI 54961
(920) 982-3711
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2315438

Griebenow Eyecare · Clintonville, WI
Active · expires Dec 11, 2026
CLIA Number52D2315438
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Christopher Lopez
Laboratory Phone(715) 823-5112
Laboratory LocationGriebenow Eyecare45 10th St, Clintonville, WI 54929
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2315446

Griebenow Eyecare · New London, WI
Active · expires Dec 11, 2026
CLIA Number52D2315446
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Christopher Lopez
Laboratory Phone(920) 982-3711
Laboratory LocationGriebenow Eyecare105 Northridge Dr, New London, WI 54961
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Griebenow Eyecare, S.C.'s NPI number?

The NPI number for Griebenow Eyecare, S.C. is 1003045402. It was assigned to this organization in the NPPES registry on July 7, 2009. The provider is doing business as Griebenow Eyecare Clintonville.

Where is Griebenow Eyecare, S.C. located?

Griebenow Eyecare, S.C. is located at 45 10th St., Clintonville, WI 54929. The listed phone number is (715) 823-5112.

What is Griebenow Eyecare, S.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Griebenow Eyecare, S.C. enrolled in Medicare?

Yes. Griebenow Eyecare, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Griebenow Eyecare, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Griebenow Eyecare, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Griebenow Eyecare, S.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Griebenow Eyecare, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Griebenow Eyecare, S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Griebenow Eyecare, S.C. was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.