EYES ON THE LAKE
NPI 1225791973
Optometrist in Milwaukee, WI

Active since October 20, 2021
2134 S KINNICKINNIC AVENUE, MILWAUKEE, WI 53207(414) 293-1180(414) 293-1181 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2022, Oct 20, 2021 (2 updates tracked since 2021).

About Eyes On The Lake NPPES

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

EYES ON THE LAKE (NPI 1225791973) is a healthcare organization registered as an optometrist in Milwaukee, Wisconsin and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Milwaukee and lists Vaugn Schneider, Optometrist / Owner, as its authorized official.

NPPES Registry Identity

NPI1225791973
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYES ON THE LAKE
Location Address2134 S KINNICKINNIC AVENUEMilwaukee, WI 53207-1379
Mailing Address2134 S Kinnickinnic AvenueMilwaukee, WI 53207-1379 · (414) 293-1180 · Fax (414) 293-1181
Fax(414) 293-1181
Organization SubpartNo
Authorized OfficialVaugn SchneiderOptometrist / Owner · (920) 850-1367
Enumeration DateOctober 20, 2021
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1225791973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
2134 S KINNICKINNIC AVENUE, Milwaukee, WI 53207

Secondary Practice Location 1

Location 12160 S Kinnickinnic AveMilwaukee, WI 53207-1379 · Phone (920) 850-1367

Other Identifiers 1

Medicaid1124478144WI

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)

Eyes On The Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eyes On The Lake, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1124478144
2134 S KINNICKINNIC AVENUE
Milwaukee, WI 53207
(414) 293-1180
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922655158
13330 WASHINGTON AVE
Mount Pleasant, WI 53177
(262) 267-8161
✔ PECOS✔ Accepts Medicare19 mi

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

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 Eyes On The Lake's NPI number?

The NPI number for Eyes On The Lake is 1225791973. It was assigned to this organization in the NPPES registry on October 20, 2021.

Where is Eyes On The Lake located?

Eyes On The Lake is located at 2134 S Kinnickinnic Avenue, Milwaukee, WI 53207. The listed phone number is (414) 293-1180.

What is Eyes On The Lake's specialty?

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

Is Eyes On The Lake enrolled in Medicare?

Yes. Eyes On The Lake is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyes On The Lake?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Eyes On The Lake. 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.

What insurance does Eyes On The Lake accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Eyes On The Lake 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 Eyes On The Lake was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.