EYE CENTERS OF RACINE AND KENOSHA LTD
NPI 1710905781
Ophthalmology in Mt Pleasant, WI
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
Specialties & Licenses 2
Other Names 2
Secondary Practice Locations 2
Other Identifiers 3
Group Practice 1
Accepted 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)
Eye Centers Of Racine And Kenosha Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Eye Centers Of Racine And Kenosha Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WIFrequently 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.
Is Eye Centers Of Racine And Kenosha Ltd enrolled in Medicare?
Yes. Eye Centers Of Racine And Kenosha Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Centers Of Racine And Kenosha Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Centers Of Racine And Kenosha Ltd. 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. The largest specialties are Optometry (6) and Ophthalmology (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 18 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.
# Eye Centers Of Racine And Kenosha Ltd · NPI 1710905781
Ophthalmology organization in Mt Pleasant, Wisconsin. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1710905781 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Also known as:** Eye Center of Racine LTD (Former Legal Business Name); The Eye Centers of Racine and Kenosha (Other Name)
- **Organization subpart:** No
- **Authorized official:** Melissa Gottfredsen, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 13200 GLOBE DR STE 216, Mt Pleasant, WI 53177-1605
- **Phone:** (262) 637-0500 · **Fax:** (262) 635-8027
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (6), Ophthalmology (2); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2025
- **Other identifiers:** Medicaid 100202317 (WI); Other 0631860001 (WI); Medicaid 38713800 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710905781) · Data from the CMS NPPES public registry.