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COMMUNITY EYECARE INC
NPI 1548457757
Optometrist in Brillion, WI

Active since October 02, 2007
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: November 01, 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 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), Dean Health Plan.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)

Community Eyecare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Community Eyecare Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Micah Juedes, O.D.
Optometry
NPI 1851708572
950 W RYAN ST
Brillion, WI 54110
(920) 756-2020
✔ PECOS✔ Accepts MedicareSame address
Charles Burgess, OD
Optometry
NPI 1699768333
1255 APPLETON RD MENASHA
Menasha, WI 54952
(920) 722-6872
✔ PECOS✔ Accepts Medicare17 mi
Nathan Larson, OD
Optometry
NPI 1073207445
1255 APPLETON RD
Menasha, WI 54952
(920) 722-6872
✔ PECOS✔ Accepts Medicare17 mi
Jonathan Menos, O.D.
Optometry
NPI 1932580537
115 ALPINE CT
Shawano, WI 54166
(715) 526-3163
✔ PECOS✔ Accepts Medicare49 mi
Jonathan Menos, O.D.
Optometry
NPI 1932580537
115 ALPINE CT
Shawano, WI 54166
(715) 526-3163
✔ PECOS✔ Accepts Medicare49 mi

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 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.

Is Community Eyecare Inc enrolled in Medicare?

Yes. Community Eyecare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Eyecare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Community Eyecare 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Eyecare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan 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.