ALEXANDER EYE INSTITUTE, SC
NPI 1740317841
Ophthalmology in Appleton, WI

Q: What is Alexander Eye Institute, Sc's NPI number?

The NPI number for Alexander Eye Institute, Sc is 1740317841. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider was formerly known as Alexander Eye Institute.

Q: What is Alexander Eye Institute, Sc's specialty?

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

Active since February 27, 2007CLIA 52D2020547 · Waiver

250 N METRO DRIVE, APPLETON, WI 54913(920) 830-2020(920) 830-1118 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Alexander Eye Institute, Sc NPPES

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

ALEXANDER EYE INSTITUTE, SC (NPI 1740317841), doing business as Alexander Eye Institute, is a healthcare organization registered as an ophthalmology in Appleton, Wisconsin and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Kimberly Kay Goddard, Ophthalmic Technician, as its authorized official.

NPPES Registry Identity

NPI1740317841

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameALEXANDER EYE INSTITUTE, SC

Location Address250 N METRO DRIVEAppleton, WI 54913-8571

Mailing Address250 N Metro DriveAppleton, WI 54913-8571 · (920) 830-2020 · Fax (920) 830-1118

Phone(920) 830-2020

Fax(920) 830-1118

Organization SubpartNo

Authorized OfficialKimberly Kay GoddardOphthalmic Technician · (920) 830-2020

Enumeration DateFebruary 27, 2007

Last NPPES UpdateMay 4, 2010

✔ NPI 1740317841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 30180

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.

250 N METRO DRIVE, Appleton, WI 54913

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Other Names 1

Former Legal Business NameAlexander Eye Institute

Other Identifiers 2

Medicare ID-Type Unspecified000147935WI

Medicare UPINF05698WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Eye Institute, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alexander Eye Institute, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Avery Alexander, MD

Ophthalmology

NPI 1982788030

250 N METRO DRIVE ALEXANDER EYE INSTITUTE
Appleton, WI 54913

(920) 830-2020

✔ PECOSSame address

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 52D2020547

Alexander Eye Institute, Sc · Appleton, WI

Active · expires Feb 23, 2028

CLIA Number52D2020547

Laboratory TypePhysician Office

Certificate Effective DateFebruary 24, 2026

Certificate Expiration DateFebruary 23, 2028

Laboratory DirectorDr. Avery D. Alexander

Laboratory Phone(920) 830-2020

Laboratory LocationAlexander Eye Institute, Sc250 N Metro Drive, Appleton, WI 54913

CLIA data matches this NPI record on: Address Name Phone

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

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 Alexander Eye Institute, Sc's NPI number?

The NPI number for Alexander Eye Institute, Sc is 1740317841. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider was formerly known as Alexander Eye Institute.

Where is Alexander Eye Institute, Sc located?

Alexander Eye Institute, Sc is located at 250 N Metro Drive, Appleton, WI 54913. The listed phone number is (920) 830-2020.

What is Alexander Eye Institute, Sc's specialty?

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

Is Alexander Eye Institute, Sc enrolled in Medicare?

Yes. Alexander Eye Institute, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alexander Eye Institute, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Alexander Eye Institute, Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alexander Eye Institute, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2020547) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alexander Eye Institute, Sc was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.