SAMUEL K SODA OD
NPI 1194411850
Optometrist in Sheboygan, WI

Active since April 14, 2023PECOS EnrolledAccepts Medicare Assignment
1442 N 31ST ST, SHEBOYGAN, WI 53081(920) 452-5400 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Aug 5, 2025, Jun 18, 2025 and 2 more (5 updates tracked since 2023).

About Samuel K Soda Od NPPES

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

SAMUEL K SODA OD (NPI 1194411850) is an individual optometrist in Sheboygan, Wisconsin, licensed in Wisconsin (3930) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194411850
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL K SODACredential: OD
Location Address1442 N 31ST STSheboygan, WI 53081-3061
Mailing Address1442 N 31st StSheboygan, WI 53081-3061 · (920) 452-5400 · Fax (920) 452-1920
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 14, 2023
Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1194411850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in WI · 3930 Licensed in IA · 119996
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.
1442 N 31ST ST, Sheboygan, WI 53081

Accepted 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

Samuel K Soda 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 ID9335502970
PECOS Enrollment IDI20230908000862
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 6

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
49 services46 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.
46 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
43 services43 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.
25 services20 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
15 services15 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 15

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

Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Eyewear Supplier
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist-Hearing Aid Fitter
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081
Ophthalmology
1442 N 31ST ST
SHEBOYGAN, WI 53081
Audiologist
1442 N 31ST ST
SHEBOYGAN, WI 53081

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 Samuel Soda's NPI number?

The NPI number for Samuel Soda is 1194411850. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Samuel Soda located?

Samuel Soda practices at 1442 N 31st St, Sheboygan, WI 53081. The listed phone number is (920) 452-5400.

What is Samuel Soda's specialty?

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

Is Samuel Soda enrolled in Medicare?

Yes. Samuel Soda 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 Samuel Soda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 7 other insurers list Samuel Soda 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 Samuel Soda was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.