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COMMUNITY EYECARE INC
NPI 1548457757
Optometrist in Brillion, WI

Active since October 02, 2007CLIA 52D2049256 · Waiver
950 W RYAN ST, SUITE A, BRILLION, WI 54110(920) 756-2020(920) 756-2000 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Eyecare Inc NPPES

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

COMMUNITY EYECARE INC (NPI 1548457757) is a healthcare organization registered as an optometrist in Brillion, Wisconsin and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Charles J Burgess, President, as its authorized official.

NPPES Registry Identity

NPI1548457757
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOMMUNITY EYECARE INC
Location Address950 W RYAN ST, SUITE ABrillion, WI 54110
Mailing Address1255 Appleton Rd, Po Box 534Menasha, WI 54952-1501 · (920) 722-6872 · Fax (920) 722-6335
Phone(920) 756-2020
Fax(920) 756-2000
Organization SubpartNo
Authorized OfficialCharles J BurgessPresident · (920) 722-6872
Enumeration DateOctober 2, 2007
Last NPPES UpdateMay 15, 2008
✔ NPI 1548457757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 2676✔ Licensed in WI · 2869
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2676 (WI), 2869 (WI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2676 (WI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2676 (WI), 2869 (WI)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 2676 (WI), 2869 (WI)
950 W RYAN ST, Brillion, WI 54110
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Other Names 1

Former Legal Business NameCommunity Eyecare Inc

Other Identifiers 3

Medicaid38601700WI
Medicare NSC1219070002WI
Medicare PIN000071600WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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 52D2049256

Community Eyecare Inc · Brillion, WI
Active · expires Oct 31, 2026
CLIA Number52D2049256
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. Charles J. Burgess
Laboratory Phone(920) 756-2020
Laboratory LocationCommunity Eyecare Inc950 W Ryan St, Brillion, WI 54110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICAH JUEDES O.D.
Optometrist
950 W RYAN ST
BRILLION, WI 54110
Calumet County (920) 756-2020

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 Community Eyecare Inc's NPI number?

The NPI number for Community Eyecare Inc is 1548457757. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is Community Eyecare Inc located?

Community Eyecare Inc is located at 950 W Ryan St Suite A, Brillion, WI 54110. The listed phone number is (920) 756-2020.

What is Community Eyecare Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Community Eyecare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2049256) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Eyecare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Community Eyecare 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 Community Eyecare Inc was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.