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DR. STEVEN TICKNOR OD
NPI 1174260715
Optometrist in Kenosha, WI

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
3621 MARKET LN, KENOSHA, WI 53144(262) 658-8119(262) 658-8261 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, May 16, 2022 (2 updates tracked since 2022).

About Dr. Steven Ticknor Od NPPES

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

DR. STEVEN TICKNOR OD (NPI 1174260715) is an individual optometrist in Kenosha, Wisconsin, licensed in Wisconsin (3810-35) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2022).

NPPES Registry Identity

NPI1174260715
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEVEN TICKNORCredential: OD
Location Address3621 MARKET LNKenosha, WI 53144-1553
Mailing Address568 Woodcrest DrMundelein, IL 60060-1525
Phone(262) 658-8119
Fax(262) 658-8261
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2022
Enumeration DateMay 16, 2022
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1174260715 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 · 3810-35
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.
3621 MARKET LN, Kenosha, WI 53144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana 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. Steven Ticknor Od 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 ID6002290202
PECOS Enrollment IDI20220908000112
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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

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

DR. ELIZABETH CARMAN SOMERS OD
Optometrist
3621 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 658-8119

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 Steven Ticknor's NPI number?

The NPI number for Steven Ticknor is 1174260715. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Steven Ticknor located?

Steven Ticknor practices at 3621 Market Ln, Kenosha, WI 53144. The listed phone number is (262) 658-8119.

What is Steven Ticknor's specialty?

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

Is Steven Ticknor enrolled in Medicare?

Yes. Steven Ticknor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Steven Ticknor accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Steven Ticknor 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 Steven Ticknor was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.