ADVANCED EYECARE, SC
NPI 1477659456
Optometrist in Plymouth, WI
About Advanced Eyecare, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED EYECARE, SC (NPI 1477659456) is a healthcare organization registered as an optometrist in Plymouth, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Tammy M Anhalt, Billing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Advanced Eyecare, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Eyecare, Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2249172
Advanced Eyecare · Plymouth, WIMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Advanced Eyecare carries, from the Medicare DMEPOS supplier directory.
Advanced Eyecare
DMEPOS supplier · Plymouth, WIOperated by Advanced Eyecare, ScAccepts Medicare assignment
Advanced Eyecare agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Advanced Eyecare, Sc's NPI number?
The NPI number for Advanced Eyecare, Sc is 1477659456. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is Advanced Eyecare, Sc located?
Advanced Eyecare, Sc is located at 300 E Mill St, Plymouth, WI 53073. The listed phone number is (920) 893-8474.
What is Advanced Eyecare, Sc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Advanced Eyecare, Sc enrolled in Medicare?
Yes. Advanced Eyecare, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Eyecare, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Advanced Eyecare, Sc. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Eyecare, Sc accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Advanced Eyecare accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Advanced Eyecare, Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2249172) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Advanced Eyecare, Sc 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 and 1 other insurer list Advanced Eyecare, Sc 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 Advanced Eyecare, Sc was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Advanced Eyecare, Sc · NPI 1477659456
Optometrist organization in Plymouth, Wisconsin. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1477659456 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Tammy Anhalt, BILLING SPECIALIST
## Practice location
- **Address:** 300 E MILL ST, Plymouth, WI 53073-1804
- **Phone:** (920) 893-8474 · **Fax:** (920) 893-8814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2015
- **Other identifiers:** Medicaid 38591200 (WI); Medicare PIN 000047135 (WI); Medicare NSC 1144200001 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477659456) · Data from the CMS NPPES public registry.