EYE CLINIC OF WISCONSIN, S.C.
NPI 1740264266
Ophthalmology in Antigo, WI
About Eye Clinic Of Wisconsin, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE CLINIC OF WISCONSIN, S.C. (NPI 1740264266) is a healthcare organization registered as an ophthalmology in Antigo, Wisconsin and active in the NPI registry since November 2005. The organization lists Kimberly Goddard, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Clinic Of Wisconsin, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Eye Clinic Of Wisconsin, S.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinic Of Wisconsin, S.C.'s NPI number?
The NPI number for Eye Clinic Of Wisconsin, S.C. is 1740264266. It was assigned to this organization in the NPPES registry on November 30, 2005.
Where is Eye Clinic Of Wisconsin, S.C. located?
Eye Clinic Of Wisconsin, S.C. is located at 109 State Hwy 64, Antigo, WI 54409. The listed phone number is (715) 623-6662.
What is Eye Clinic Of Wisconsin, S.C.'s specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Eye Clinic Of Wisconsin, S.C. enrolled in Medicare?
Yes. Eye Clinic Of Wisconsin, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Clinic Of Wisconsin, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Clinic Of Wisconsin, S.C.. 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 Ophthalmology (12) and Optometry (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eye Clinic Of Wisconsin, S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Eye Clinic Of Wisconsin, S.C. 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 Clinic Of Wisconsin, S.C. was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 Clinic Of Wisconsin, S.c. · NPI 1740264266
Ophthalmology organization in Antigo, Wisconsin. Organization record, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1740264266 (Entity type: Organization)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Goddard, COO
## Practice location
- **Address:** 109 STATE HWY 64, Antigo, WI 54409
- **Phone:** (715) 623-6662 · **Fax:** (715) 623-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (12), Optometry (7) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2025
- **Other identifiers:** Medicaid 32667800 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1740264266) · Data from the CMS NPPES public registry.