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DR. THADDEUS DANIEL
NPI 1366576399
Optometrist in Shawano, WI

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
1244 E GREEN BAY ST, OPTICAL DEPT, SHAWANO, WI 54166(715) 526-2376(715) 526-9651 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Dr. Thaddeus Daniel NPPES

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

DR. THADDEUS DANIEL (NPI 1366576399) is an individual optometrist in Shawano, Wisconsin, licensed in Wisconsin (2359) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).

NPPES Registry Identity

NPI1366576399
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THADDEUS DANIEL
Location Address1244 E GREEN BAY ST, OPTICAL DEPTShawano, WI 54166-2208
Mailing Address1244 E Green Bay StShawano, WI 54166-2208 · (715) 526-2376 · Fax (715) 526-9651
Phone(715) 526-2376
Fax(715) 526-9651
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1990
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1366576399 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 · 2359✔ Licensed in CO · 2396
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.
1244 E GREEN BAY ST, Shawano, WI 54166
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Other Names 1

Other Name (5)Thad Daniel Od

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. Thaddeus Daniel 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 ID8820019771
PECOS Enrollment IDI20250228000887
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 54166 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 6

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

LANCE BUTH
Pharmacist
1244 E GREEN BAY ST
SHAWANO, WI 54166
Shawano County (715) 524-5983
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1244 E GREEN BAY ST
SHAWANO, WI 54166
Shawano County (715) 524-5983
DR. BRIAN WOJCIK PHARMD
Pharmacist
1244 E GREEN BAY ST
SHAWANO, WI 54166
Shawano County (715) 524-5983
WAL-MART STORES EAST, LP
Eyewear Supplier
1244 E GREEN BAY ST
SHAWANO, WI 54166
Shawano County (715) 524-5980
JANSON A MANCHESKI OD
Optometrist
1244 E GREEN BAY ST, JANSON MANCHESKI OD
SHAWANO, WI 54166
Shawano County (715) 526-2376
MORGAN STEFFENS PHARMD
Pharmacist
1244 E GREEN BAY ST
SHAWANO, WI 54166
Shawano County (715) 524-5983

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 Thaddeus Daniel's NPI number?

The NPI number for Thaddeus Daniel is 1366576399. It was assigned to this individual provider in the NPPES registry on March 14, 2007. The provider is also known as Thad Daniel Od.

Where is Thaddeus Daniel located?

Thaddeus Daniel practices at 1244 E Green Bay St Optical Dept, Shawano, WI 54166. The listed phone number is (715) 526-2376.

What is Thaddeus Daniel's specialty?

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

Is Thaddeus Daniel enrolled in Medicare?

Yes. Thaddeus Daniel 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.

When was this NPI record last updated?

The NPPES record for Thaddeus Daniel was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.