Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CLIFFORD BEAUDOIN OD
NPI 1679561195
Optometrist in Appleton, WI

Active since October 10, 2005PECOS Enrolled
2700 W COLLEGE AVE, APPLETON, WI 54914(920) 735-9580 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Aug 7, 2023 (2 updates tracked since 2023).

About Clifford Beaudoin Od NPPES

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

CLIFFORD BEAUDOIN OD (NPI 1679561195) is an individual optometrist in Appleton, Wisconsin, licensed in Wisconsin (2226) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1988).

NPPES Registry Identity

NPI1679561195
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCLIFFORD BEAUDOINCredential: OD
Location Address2700 W COLLEGE AVEAppleton, WI 54914-2918
Mailing Address2700 W College AveAppleton, WI 54914-2918 · (920) 735-9580
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1988
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1679561195 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 · 2226
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.

2700 W COLLEGE AVE, Appleton, WI 54914

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clifford Beaudoin Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072673698
PECOS Enrollment IDI20081126000447
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Optometrist
2700 W COLLEGE AVE
APPLETON, WI 54914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679561195, enumerated as an "individual" on October 10, 2005.

The provider is located at 2700 W COLLEGE AVE APPLETON, WI 54914 and the phone number is (920) 735-9580.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.