ADVANCED EYECARE, SC
NPI 1477659456
Optometrist in Plymouth, WI

Active since September 16, 2006CLIA 52D2249172 · Waiver
300 E MILL ST, PLYMOUTH, WI 53073(920) 893-8474(920) 893-8814 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1477659456
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADVANCED EYECARE, SC
Location Address300 E MILL STPlymouth, WI 53073-1804
Mailing Address300 E Mill StPlymouth, WI 53073-1804 · (920) 893-8474 · Fax (920) 893-8814
Fax(920) 893-8814
Organization SubpartNo
Authorized OfficialTammy M AnhaltBilling Specialist · (920) 893-8474
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 27, 2015
NPI 1477659456 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 · 2461
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.
300 E MILL ST, Plymouth, WI 53073

Other Identifiers 3

Medicaid38591200WI
Medicare PIN000047135WI
Medicare NSC1144200001WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, WI
Active · expires Jan 18, 2028
CLIA Number52D2249172
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDr. Cheryl L. Ziegler
Laboratory Phone(920) 226-0298
Laboratory LocationAdvanced Eyecare300 E Mill St, Plymouth, WI 53073
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical 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, Sc

Accepts 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.

PTAN (Medicare Supplier Number)20641205
Medicare Participant SinceJanuary 1, 2024
Supplier Location300 E Mill StPlymouth, WI 53073
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Optometrist
300 E MILL ST
PLYMOUTH, WI 53073
Optometrist
300 E MILL ST
PLYMOUTH, WI 53073

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.

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 and BlueCross BlueShield of Tennessee 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.