DR. BRYCE ALEXANDRA LEWELLEN O.D.
NPI 1093167074
Optometrist in Two Rivers, WI

Q: What is Bryce Lewellen's NPI number?

The NPI number for Bryce Lewellen is 1093167074. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Q: What is Bryce Lewellen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryce Lewellen was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment

5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-7515(920) 793-7516 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2023, Nov 18, 2021, Sep 28, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Bryce Alexandra Lewellen O.d. NPPES

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

DR. BRYCE ALEXANDRA LEWELLEN O.D. (NPI 1093167074) is an individual optometrist in Two Rivers, Wisconsin, licensed in Wisconsin (3647) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2016).

NPPES Registry Identity

NPI1093167074

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. BRYCE ALEXANDRA LEWELLENCredential: O.D.

Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(920) 793-7515

Fax(920) 793-7516

Sole ProprietorYes

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2016

Enumeration DateJuly 1, 2016

Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1093167074 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 · 3647

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.

5300 MEMORIAL DR, Two Rivers, WI 54241

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Other Identifiers 1

Medicaid100106622WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bryce Alexandra Lewellen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567744790

PECOS Enrollment IDI20201008003228

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

2,198 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

143 services134 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services109 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

72 services57 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

63 services55 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

54 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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