MYEYEDR OPTOMETRY OF WISCONSIN, LLC
NPI 1801460563
Optometrist in Wisconsin Rapids, WI
About Myeyedr Optometry Of Wisconsin, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYEYEDR OPTOMETRY OF WISCONSIN, LLC (NPI 1801460563), doing business as Myeyedr., is a healthcare organization registered as an optometrist in Wisconsin Rapids, Wisconsin and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Sue Downes, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Myeyedr Optometry Of Wisconsin, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
102Medicare enrollment records show 102 clinicians reassign Medicare billing to Myeyedr Optometry Of Wisconsin, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 102Source: 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 52D2085868
Myeyedr Optometry Of Wisconsin, LLC · Wisconsin Rapids, 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 Myeyedr Optometry Of Wisconsin, LLC's NPI number?
The NPI number for Myeyedr Optometry Of Wisconsin, LLC is 1801460563. It was assigned to this organization in the NPPES registry on May 18, 2021. The provider is doing business as MyEyeDr..
Where is Myeyedr Optometry Of Wisconsin, LLC located?
Myeyedr Optometry Of Wisconsin, LLC is located at 1220 Parkwood Dr, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-2111.
What is Myeyedr Optometry Of Wisconsin, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Myeyedr Optometry Of Wisconsin, LLC enrolled in Medicare?
Yes. Myeyedr Optometry Of Wisconsin, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Myeyedr Optometry Of Wisconsin, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 102 clinicians in 2 Medicare specialties reassign their Medicare billing to Myeyedr Optometry Of Wisconsin, LLC. 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 (101) and Ophthalmology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Myeyedr Optometry Of Wisconsin, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2085868) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Myeyedr Optometry Of Wisconsin, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Security Health Plan list Myeyedr Optometry Of Wisconsin, LLC 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 Myeyedr Optometry Of Wisconsin, LLC was last updated on May 18, 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.
# Myeyedr Optometry Of Wisconsin, Llc · NPI 1801460563
Optometrist organization in Wisconsin Rapids, Wisconsin. Organization record, active in the CMS NPPES registry since May 18, 2021.
## Identity
- **NPI:** 1801460563 (Entity type: Organization)
- **Enumerated:** May 18, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** MyEyeDr. (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sue Downes, SECRETARY
## Practice location
- **Address:** 1220 PARKWOOD DR, Wisconsin Rapids, WI 54494-5488
- **Phone:** (715) 421-2111 · **Fax:** (715) 421-2123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 102 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (101), Ophthalmology (1); 4 practice at this address; [full list](https://npiprofile.com/npi/1801460563/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801460563) · Data from the CMS NPPES public registry.