EYE CENTERS OF RACINE AND KENOSHA LTD
NPI 1710905781
Ophthalmology in Mt Pleasant, WI

Q: What is Eye Centers Of Racine And Kenosha Ltd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since July 18, 2006CLIA 52D2102179 · Waiver

13200 GLOBE DR STE 216, MT PLEASANT, WI 53177(262) 637-0500(262) 635-8027 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 4, 2023, Oct 12, 2023 (2 updates tracked since 2023).

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About Eye Centers Of Racine And Kenosha Ltd NPPES

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

EYE CENTERS OF RACINE AND KENOSHA LTD (NPI 1710905781), doing business as Eye Center Of Racine Ltd, is a healthcare organization registered as an ophthalmology in Mt Pleasant, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2028, maintains 2 additional practice locations, and lists Melissa Gottfredsen, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1710905781

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE CENTERS OF RACINE AND KENOSHA LTD

Location Address13200 GLOBE DR STE 216Mt Pleasant, WI 53177-1605

Mailing Address3805b Spring St, Suite 140Racine, WI 53405-1641 · (262) 637-0500 · Fax (262) 635-8027

Phone(262) 637-0500

Fax(262) 635-8027

Organization SubpartNo

Authorized OfficialMelissa GottfredsenPractice Administrator · (262) 898-5673

Enumeration DateJuly 18, 2006

Last NPPES UpdateApril 21, 20252 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1710905781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X

13200 GLOBE DR STE 216, Mt Pleasant, WI 53177

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Other Names 2

Former Legal Business NameEye Center Of Racine Ltd

Other NameThe Eye Centers Of Racine And Kenosha

Secondary Practice Locations 2

Location 13805B Spring St Ste 140Mount Pleasant, WI 53405-1642 · Phone (262) 637-8835 · Fax (262) 635-8027

Location 29916 75th St Ste 101Kenosha, WI 53142-7583 · Phone (262) 637-0500 · Fax (262) 635-8027

Other Identifiers 3

Medicaid100202317WI

Other0631860001WI · Ngs Administar

Medicaid38713800WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.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 52D2102179

Eye Centers Of Racine Kenosha, The · Kenosha, WI

Active · expires Jul 17, 2028

CLIA Number52D2102179

Laboratory TypePhysician Office

Certificate Effective DateJuly 18, 2026

Certificate Expiration DateJuly 17, 2028

Laboratory DirectorMr. Inder P. Singh

Laboratory Phone(262) 637-0500

Laboratory LocationEye Centers Of Racine Kenosha, The9916 75th St, Ste 101, Kenosha, WI 53142

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ERIC DURESA OD

Optometrist

13200 GLOBE DR STE 216
MOUNT PLEASANT, WI 53177

Racine County (262) 637-0500

EYE CENTERS OF RACINE AND KENOSHA LTD

Ophthalmology

13200 GLOBE DR STE 216
MOUNT PLEASANT, WI 53177

Racine County (262) 635-0700

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 Eye Centers Of Racine And Kenosha Ltd's NPI number?

The NPI number for Eye Centers Of Racine And Kenosha Ltd is 1710905781. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is also known as The Eye Centers of Racine and Kenosha. The provider was formerly known as Eye Center of Racine LTD.

Where is Eye Centers Of Racine And Kenosha Ltd located?

Eye Centers Of Racine And Kenosha Ltd is located at 13200 Globe Dr Ste 216, Mt Pleasant, WI 53177. The listed phone number is (262) 637-0500.

What is Eye Centers Of Racine And Kenosha Ltd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Eye Centers Of Racine And Kenosha Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2102179) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Centers Of Racine And Kenosha Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Eye Centers Of Racine And Kenosha Ltd 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 Eye Centers Of Racine And Kenosha Ltd was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.