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NORTH SHORE EYE HEALTH AND WELLNESS
NPI 1629494703
Optometrist in Cedarburg, WI

Active since March 12, 2014CLIA 52D2082569 · Waiver
N54W6135 MILL ST, SUITE 700, CEDARBURG, WI 53012(262) 421-4412(262) 421-4413 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Shore Eye Health And Wellness NPPES

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

NORTH SHORE EYE HEALTH AND WELLNESS (NPI 1629494703) is a healthcare organization registered as an optometrist in Cedarburg, Wisconsin and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Kyle David Ross, President, as its authorized official.

NPPES Registry Identity

NPI1629494703
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNORTH SHORE EYE HEALTH AND WELLNESS, SC
Location AddressN54W6135 MILL ST, SUITE 700Cedarburg, WI 53012-2021
Mailing AddressN54w6135 Mill St, Suite 700Cedarburg, WI 53012-2021 · (262) 421-4412 · Fax (262) 421-4413
Phone(262) 421-4412
Fax(262) 421-4413
Organization SubpartNo
Authorized OfficialKyle David RossPresident · (262) 421-4412
Enumeration DateMarch 12, 2014
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1629494703 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 · 3226-035
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.
N54W6135 MILL ST, Cedarburg, WI 53012
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Other Names 1

Doing Business AsNorth Shore Eye Health And Wellness

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 52D2082569

North Shore Eye Health And Wellness · Cedarburg, WI
Active · expires Aug 17, 2026
CLIA Number52D2082569
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorMr. Kyle D. Ross
Laboratory Phone(262) 421-4412
Laboratory LocationNorth Shore Eye Health And WellnessN54w6135 Mill St, Suite 700, Cedarburg, WI 53012
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 8

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

DR. M THOMAS CHEMOTTI M.D.
Ophthalmology
N54W6135 MILL ST
CEDARBURG, WI 53012
Ozaukee County (262) 377-8118
SALVADOR V. DEL ROSARIO,M.D., S.C.
Internal Medicine
N54W6135 MILL ST, SUITE 600
CEDARBURG, WI 53012
Ozaukee County (262) 375-1130
DR. STEPHANIE ENGEBRETSON OD
Optometrist
N54W6135 MILL ST
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412
DANIEL C GARCIA DDS LLC
Dentist
N54W6135 MILL ST, SUITE 900
CEDARBURG, WI 53012
Ozaukee County (262) 375-8888
JOHN RICHARD JANKOWSKI R.PH.
Pharmacist
N54W6135 MILL ST, SUITE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
SUSAN ELAINE MIAZGA RPH
Pharmacist
N54W6135 MILL ST, STE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
CEDARBURG PRESCRIPTION CENTER INC
Pharmacy (Community/Retail Pharmacy)
N54W6135 MILL ST, STE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
DR. KYLE D ROSS O.D.
Optometrist
N54W6135 MILL ST, SUITE 700
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412

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 North Shore Eye Health And Wellness, Sc's NPI number?

The NPI number for North Shore Eye Health And Wellness, Sc is 1629494703. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is doing business as North Shore Eye Health And Wellness.

Where is North Shore Eye Health And Wellness, Sc located?

North Shore Eye Health And Wellness, Sc is located at N54w6135 Mill St Suite 700, Cedarburg, WI 53012. The listed phone number is (262) 421-4412.

What is North Shore Eye Health And Wellness, Sc's specialty?

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

Does North Shore Eye Health And Wellness, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2082569) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Shore Eye Health And Wellness, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list North Shore Eye Health And Wellness, 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 North Shore Eye Health And Wellness, Sc was last updated on September 23, 2014. 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.