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MYEYEDR OPTOMETRY OF WISCONSIN, LLC
NPI 1801460563
Optometrist in Wisconsin Rapids, WI

Active since May 18, 2021CLIA 52D2085868 · Waiver
1220 PARKWOOD DR, WISCONSIN RAPIDS, WI 54494(715) 421-2111(715) 421-2123 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1801460563
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMYEYEDR OPTOMETRY OF WISCONSIN, LLC
Location Address1220 PARKWOOD DRWisconsin Rapids, WI 54494-5488
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(715) 421-2111
Fax(715) 421-2123
Organization SubpartNo
Authorized OfficialSue DownesSecretary · (703) 847-8899
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1801460563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1220 PARKWOOD DR, Wisconsin Rapids, WI 54494
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Other Names 1

Doing Business AsMyeyedr.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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, WI
Active · expires Oct 23, 2026
CLIA Number52D2085868
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorMs. Kristen Albrecht
Laboratory Phone(715) 421-2111
Laboratory LocationMyeyedr Optometry Of Wisconsin, LLC1220 Parkwood Dr, Wisconsin Rapids, WI 54494
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BENJAMIN REED CLARK O.D.
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
CAROL ANN SHEKER MAIN OD
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
PARKWOOD EYECARE ASSOCIATES, LLC
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
DR. MICHAEL DESMOND MAIN O.D.
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
KIMBERLY K RUTKOWSKI OD
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111

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 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.

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), HealthPartners 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.