Samuel K Soda, OD - Medicare Optometrist in Sheboygan, WI

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Samuel K Soda, OD is a medicare enrolled "Optometrist" provider in Sheboygan, Wisconsin. His current practice location is 1442 N 31st St, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 452-5400.

Samuel K Soda is licensed to practice in Wisconsin (license number 3930) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194411850.

Contact Information

Samuel K Soda, OD
1442 N 31st St,
Sheboygan, WI 53081-3061
(920) 452-5400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel K Soda
GenderMale
SpecialityOptometrist
Location1442 N 31st St, Sheboygan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194411850
  • Provider Enumeration Date: 04/14/2023
  • Last Update Date: 08/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9335502970
  • Enrollment ID: I20230908000862

Medical Identifiers

Medical identifiers for Samuel K Soda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194411850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 119996 (Iowa)Secondary
152W00000XOptometrist 3930 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel K Soda allows following entities to bill medicare on his behalf.
Provider NameGundersen Clinic Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Provider NameLarson Eye Care Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629039961
PECOS PAC ID: 8022098409
Enrollment ID: O20040726000205
Provider NameGundersen Lutheran Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel K Soda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel K Soda, OD
1442 N 31st St,
Sheboygan, WI 53081-3061

Ph: (920) 452-5400		Samuel K Soda, OD
1442 N 31st St,
Sheboygan, WI 53081-3061

Ph: (920) 452-5400

Reviews and Comments


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Lindman Eye Care Llc
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Phone: 920-458-3312    Fax: 920-458-6827
Dr. Shannon Macnab, O.D.
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Practice Location: 518 S Taylor Dr, Sheboygan, WI 53081
Phone: 920-458-5757    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.