1. Home
  2. Directory
  3. Wisconsin
  4. Oconomowoc
  5. Optometrist
  6. NPI Profile

MR. RANDY J PRESTASH OD
NPI 1760516256
Optometrist in Oconomowoc, WI

Active since March 15, 2007PECOS Enrolled
608 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-6565(262) 567-8214 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randy J Prestash Od NPPES

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

MR. RANDY J PRESTASH OD (NPI 1760516256) is an individual optometrist in Oconomowoc, Wisconsin, licensed in Wisconsin (WI1780-035) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760516256
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. RANDY J PRESTASHCredential: OD
Location Address608 SUMMIT AVEOconomowoc, WI 53066-3841
Mailing Address608 Summit AveOconomowoc, WI 53066-3841 · (262) 567-6565 · Fax (262) 567-8214
Phone(262) 567-6565
Fax(262) 567-8214
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 28, 2012
✔ NPI 1760516256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · WI1780-035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
608 SUMMIT AVE, Oconomowoc, WI 53066
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINT63031WI
Medicaid38515200WI
Medicare ID-Type Unspecified476900001WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randy J Prestash Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. DANA S MCGUIRE OD
Optometrist
608 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-6565

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 Randy Prestash's NPI number?

The NPI number for Randy Prestash is 1760516256. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Randy Prestash located?

Randy Prestash practices at 608 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-6565.

What is Randy Prestash's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Randy Prestash enrolled in Medicare?

Yes. Randy Prestash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Prestash was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.