LANCE ENGDAHL OD
NPI 1689730681
Optometrist in Milwaukee, WI
About Lance Engdahl Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANCE ENGDAHL OD (NPI 1689730681) is an individual optometrist in Milwaukee, Wisconsin, licensed in Wisconsin (2711-035) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Verona, and is a graduate of Illinois College Of Optometry At Chicago (1998).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lance Engdahl 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.
Medicare Billing Reassignment
Medicare enrollment records show Lance Engdahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mequon, WI 53092
- Reassigned Medicare billing, Wisconsin enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lance Engdahl's NPI number?
The NPI number for Lance Engdahl is 1689730681. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Lance Engdahl located?
Lance Engdahl practices at 7425 W. Appleton Avenue, Milwaukee, WI 53216. The listed phone number is (414) 464-5440.
What is Lance Engdahl's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lance Engdahl enrolled in Medicare?
Yes. Lance Engdahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lance Engdahl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lance Engdahl reassigns Medicare benefits to Shoptikal LLC (Mequon, WI). The 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 Lance Engdahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lance Engdahl accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 7 other insurers list Lance Engdahl 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 Lance Engdahl was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lance Engdahl, OD · NPI 1689730681
Optometrist provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1689730681 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2711-035 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 7425 W. APPLETON AVENUE, Milwaukee, WI 53216
- **Phone:** (414) 464-5440 · **Fax:** (414) 464-0996
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Shoptikal LLC (NPI 1821654237, Mequon, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 1998
## Record status
- **NPPES last updated:** October 28, 2011
- **Other identifiers:** Medicaid 38616700 (WI); Medicare UPIN U89182 (WI); Medicare ID-Type Unspecified 003647615 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1689730681) · Data from the CMS NPPES public registry.