WISCONSIN OPTOMETRIC EYE DOCTOR, INC.
NPI 1437768876
Optometrist - Corneal and Contact Management in Wautoma, WI

Active since July 30, 2020
N2577 PLAZA RD # WI-73, WAUTOMA, WI 54982(920) 787-3837 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2025, Feb 23, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Wisconsin Optometric Eye Doctor, Inc. NPPES

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

WISCONSIN OPTOMETRIC EYE DOCTOR, INC. (NPI 1437768876) is a healthcare organization registered as a corneal and contact management in Wautoma, Wisconsin and active in the NPI registry since July 2020. The organization lists Eric Richard Tyler, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1437768876
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameWISCONSIN OPTOMETRIC EYE DOCTOR, INC.
Location AddressN2577 PLAZA RD # WI-73Wautoma, WI 54982-7706
Mailing AddressN2577 Plaza Rd # Wi-73Wautoma, WI 54982-7706 · (920) 787-3837
Organization SubpartNo
Authorized OfficialEric Richard TylerOwner/optometrist · (651) 206-2418
Enumeration DateJuly 30, 2020
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1437768876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X
N2577 PLAZA RD # WI-73, Wautoma, WI 54982

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Wisconsin Optometric Eye Doctor, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wisconsin Optometric Eye Doctor, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1285652826
N2577 PLAZA RD # WI-73
Wautoma, WI 54982
(651) 206-2418
✔ PECOS✔ Accepts MedicareSame address

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 Wisconsin Optometric Eye Doctor, Inc.'s NPI number?

The NPI number for Wisconsin Optometric Eye Doctor, Inc. is 1437768876. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Wisconsin Optometric Eye Doctor, Inc. located?

Wisconsin Optometric Eye Doctor, Inc. is located at N2577 Plaza Rd # Wi-73, Wautoma, WI 54982. The listed phone number is (920) 787-3837.

What is Wisconsin Optometric Eye Doctor, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Wisconsin Optometric Eye Doctor, Inc. enrolled in Medicare?

Yes. Wisconsin Optometric Eye Doctor, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wisconsin Optometric Eye Doctor, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Wisconsin Optometric Eye Doctor, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wisconsin Optometric Eye Doctor, Inc. 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 CareSource (Common Ground Healthcare) and 2 other insurers list Wisconsin Optometric Eye Doctor, Inc. 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 Wisconsin Optometric Eye Doctor, Inc. was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.