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RICHARD RAYMOND TOELLNER O.D.
NPI 1881647030
Optometrist in Menasha, WI

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1640 APPLETON RD, MENASHA, WI 54952(920) 725-3752(920) 722-3195 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Raymond Toellner O.d. NPPES

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

RICHARD RAYMOND TOELLNER O.D. (NPI 1881647030) is an individual optometrist in Menasha, Wisconsin, licensed in Wisconsin (2340-035) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1989).

NPPES Registry Identity

NPI1881647030
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD RAYMOND TOELLNERCredential: O.D.
Location Address1640 APPLETON RDMenasha, WI 54952-1106
Mailing Address1640 Appleton RdMenasha, WI 54952-1106 · (920) 725-3752 · Fax (920) 722-3195
Phone(920) 725-3752
Fax(920) 722-3195
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1989
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 30, 2013
✔ NPI 1881647030 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 · 2340-035
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.
1640 APPLETON RD, Menasha, WI 54952
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Other Identifiers 3

Medicare UPINU21310WI
Medicare ID-Type Unspecified000187730WI
Medicare ID-Type Unspecified38579000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Raymond Toellner O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901818848
PECOS Enrollment IDI20060615000131
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,366 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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.

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1640 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 725-3752

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 Richard Toellner's NPI number?

The NPI number for Richard Toellner is 1881647030. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Richard Toellner located?

Richard Toellner practices at 1640 Appleton Rd, Menasha, WI 54952. The listed phone number is (920) 725-3752.

What is Richard Toellner's specialty?

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

Is Richard Toellner enrolled in Medicare?

Yes. Richard Toellner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Toellner accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Richard Toellner 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 Richard Toellner was last updated on May 30, 2013. 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.