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BARNETT WAMBOLDT EYECARE, SC
NPI 1497905129
Clinic/Center - Primary Care in Kenosha, WI

Active since September 30, 2008
6116-39 AVE, KENOSHA, WI 53142(262) 653-0100(262) 653-0200 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Barnett Wamboldt Eyecare, Sc NPPES

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

BARNETT WAMBOLDT EYECARE, SC (NPI 1497905129) is a healthcare organization registered as a primary care in Kenosha, Wisconsin and active in the NPI registry since September 2008. The organization lists Debra Jeanne Barnett-wamboldt, President, as its authorized official.

NPPES Registry Identity

NPI1497905129
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBARNETT WAMBOLDT EYECARE, SC
Location Address6116-39 AVEKenosha, WI 53142
Mailing Address6116-39 AveKenosha, WI 53142 · (262) 653-0100 · Fax (262) 653-0200
Phone(262) 653-0100
Fax(262) 653-0200
Organization SubpartNo
Authorized OfficialDebra Jeanne Barnett-wamboldtPresident · (262) 697-3665
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1497905129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WI · 2407-035
6116-39 AVE, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 3

Medicaid38585300WI
Medicare PINWI1065WI
Medicare UPINU25331WI

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barnett Wamboldt Eyecare, Sc 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 Barnett Wamboldt Eyecare, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Barnett, O.D.
Optometry
NPI 1831183540
6116 39TH AVE
Kenosha, WI 53142
(262) 653-0100
✔ 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 Barnett Wamboldt Eyecare, Sc's NPI number?

The NPI number for Barnett Wamboldt Eyecare, Sc is 1497905129. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is Barnett Wamboldt Eyecare, Sc located?

Barnett Wamboldt Eyecare, Sc is located at 6116-39 Ave, Kenosha, WI 53142. The listed phone number is (262) 653-0100.

What is Barnett Wamboldt Eyecare, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Barnett Wamboldt Eyecare, Sc enrolled in Medicare?

Yes. Barnett Wamboldt Eyecare, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Barnett Wamboldt Eyecare, Sc?

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

When was this NPI record last updated?

The NPPES record for Barnett Wamboldt Eyecare, Sc was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.