GUNDERSEN LUTHERAN EYE CLINIC - BLACK RIVER FALLS
NPI 1730132747
Optometrist in Black River Falls, WI
About Gundersen Lutheran Eye Clinic - Black River Falls NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUNDERSEN LUTHERAN EYE CLINIC - BLACK RIVER FALLS (NPI 1730132747) is a healthcare organization registered as an optometrist in Black River Falls, Wisconsin and active in the NPI registry since May 2006. The organization lists Kari B Adank, Cco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Gundersen Lutheran Eye Clinic - Black River Falls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
926Medicare enrollment records show 926 clinicians reassign Medicare billing to Gundersen Lutheran Eye Clinic - Black River Falls, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 69
Nearest to this location (20)
See all 926Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Gundersen Black River Falls Eye Cli carries, from the Medicare DMEPOS supplier directory.
Gundersen Black River Falls Eye Cli
DMEPOS supplier · Black River Falls, WIOperated by Gundersen Clinic LtdAccepts Medicare assignment
Gundersen Black River Falls Eye Cli agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Gundersen Clinic, Ltd.'s NPI number?
The NPI number for Gundersen Clinic, Ltd. is 1730132747. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Gundersen Lutheran Eye Clinic - Black River Falls.
Where is Gundersen Clinic, Ltd. located?
Gundersen Clinic, Ltd. is located at 601 W Adams St, Black River Falls, WI 54615. The listed phone number is (608) 782-7300.
What is Gundersen Clinic, Ltd.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gundersen Clinic, Ltd. enrolled in Medicare?
Yes. Gundersen Clinic, Ltd. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gundersen Clinic, Ltd.?
According to the CMS Revalidation Reassignment List (October 2026 release), 926 clinicians in 69 Medicare specialties reassign their Medicare billing to Gundersen Clinic, 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 Nurse Practitioner (113), Family Practice (93) and Internal Medicine (72). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gundersen Clinic, Ltd. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Gundersen Black River Falls Eye Cli accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Gundersen Clinic, Ltd. accept?
Health plans from Aspirus Health Plan, Quartz and Security Health Plan list Gundersen Clinic, 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 Gundersen Clinic, Ltd. was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gundersen Lutheran Eye Clinic - Black River Falls · NPI 1730132747
Optometrist organization in Black River Falls, Wisconsin. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1730132747 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Gundersen Clinic, Ltd.
- **Organization subpart:** Yes (part of Gundersen Clinic, Ltd.)
- **Authorized official:** Kari Adank, CCO
## Practice location
- **Address:** 601 W ADAMS ST, Black River Falls, WI 54615-9010
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 926 clinicians in 69 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (113), Family Practice (93), Internal Medicine (72); 1 practice at this address; [full list](https://npiprofile.com/npi/1730132747/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730132747) · Data from the CMS NPPES public registry.