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ERIC DURESA OD
NPI 1285319889
Optometrist in Mount Pleasant, WI

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment
13200 GLOBE DR STE 216, MOUNT PLEASANT, WI 53177(262) 637-0500(262) 635-8027 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 20, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About Eric Duresa Od NPPES

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

ERIC DURESA OD (NPI 1285319889) is an individual optometrist in Mount Pleasant, Wisconsin, licensed in Wisconsin (3924-35) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kenosha, and is a graduate of Illinois College Of Optometry At Chicago (2023).

NPPES Registry Identity

NPI1285319889
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameERIC DURESACredential: OD
Location Address13200 GLOBE DR STE 216Mount Pleasant, WI 53177-1605
Mailing Address9916 75th St Ste 101Kenosha, WI 53142-7583 · (262) 637-0500 · Fax (262) 635-8027
Phone(262) 637-0500
Fax(262) 635-8027
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2023
Enumeration DateJune 20, 2023
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1285319889 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 · 3924-35
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.
13200 GLOBE DR STE 216, Mount Pleasant, WI 53177
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Secondary Practice Location 1

Location 19916 75th St Ste 101Kenosha, WI 53142-7583 · Phone (262) 637-0500

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

Eric Duresa 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 ID2466813365
PECOS Enrollment IDI20230725001518
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 5

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 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.
44 services33 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.
29 services29 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services18 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).
20 services16 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 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 2

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

EYE CENTERS OF RACINE AND KENOSHA LTD
Ophthalmology
13200 GLOBE DR STE 216
MOUNT PLEASANT, WI 53177
Racine County (262) 635-0700
EYE CENTERS OF RACINE AND KENOSHA LTD
Ophthalmology
13200 GLOBE DR STE 216
MT PLEASANT, WI 53177
Racine County (262) 637-0500

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 Eric Duresa's NPI number?

The NPI number for Eric Duresa is 1285319889. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Eric Duresa located?

Eric Duresa practices at 13200 Globe Dr Ste 216, Mount Pleasant, WI 53177. The listed phone number is (262) 637-0500.

What is Eric Duresa's specialty?

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

Is Eric Duresa enrolled in Medicare?

Yes. Eric Duresa 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 Eric Duresa 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 8 other insurers list Eric Duresa 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 Eric Duresa was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.