1. Home
  2. Directory
  3. Wisconsin
  4. Ripon
  5. Optometrist
  6. NPI Profile

DR. VICTOR H ROEDER III O.D.
NPI 1417050246
Optometrist - Occupational Vision in Ripon, WI

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
113 WATSON ST, RIPON, WI 54971(920) 748-2676(920) 748-5105 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Victor H Roeder Iii O.d. NPPES

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

DR. VICTOR H ROEDER III O.D. (NPI 1417050246) is an individual occupational vision provider in Ripon, Wisconsin, licensed in Wisconsin (2466-035) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1991).

NPPES Registry Identity

NPI1417050246
Entity TypeIndividualMale
Primary Taxonomy152WX0102X
Provider Legal NameDR. VICTOR H ROEDER IIICredential: O.D.
Location Address113 WATSON STRipon, WI 54971-1326
Mailing Address113 Watson StRipon, WI 54971-1326 · (920) 748-2676 · Fax (920) 748-5105
Phone(920) 748-2676
Fax(920) 748-5105
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1991
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1417050246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometrist · Occupational VisionEye and Vision Services Providers
Taxonomy Code152WX0102X
License✔ Licensed in WI · 2466-035
Definition

Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

Also ListedOptometristTaxonomy 152W00000X · License 2466-035 (WI)
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2466-035 (WI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2466-035 (WI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2466-035 (WI)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 2466-035 (WI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2466-035 (WI)
113 WATSON ST, Ripon, WI 54971
Open in Google Maps ↗

Other Identifiers 1

Medicaid38591300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Providence Health Plan 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. Victor H Roeder Iii O.d. 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 ID7517041445
PECOS Enrollment IDI20080229000611
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 7

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,700 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services154 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.
148 services146 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
101 services82 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).
54 services47 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.
43 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54971 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.

VISIONCARE INCORPORATED
Optometrist
113 WATSON ST
RIPON, WI 54971
Fond Du Lac County (920) 748-2676
DR. RANDALL L ZIETH O.D.
Optometrist (Occupational Vision)
113 WATSON ST
RIPON, WI 54971
Fond Du Lac County (920) 748-2676

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 Victor Roeder's NPI number?

The NPI number for Victor Roeder is 1417050246. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Victor Roeder located?

Victor Roeder practices at 113 Watson St, Ripon, WI 54971. The listed phone number is (920) 748-2676.

What is Victor Roeder's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Occupational Vision, with taxonomy code 152WX0102X.

Is Victor Roeder enrolled in Medicare?

Yes. Victor Roeder 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 Victor Roeder accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health, Providence Health Plan, Quartz and UnitedHealthcare list Victor Roeder 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 Victor Roeder was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.