1 Vision S.c. - Medicare Optometrist in Shawano, WI

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1 Vision S.c. is a medicare enrolled "Optometrist" provider in Shawano, Wisconsin. Their current practice location is 150a County Rd B, Shawano, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (715) 526-3163.

1 Vision S.c. is licensed to practice in Wisconsin (license number 2324) and it also participates in the medicare program. 1 Vision S.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033197397.

Contact Information

1 Vision S.c.
150a County Rd B,
Shawano, WI 54166-7072
(715) 526-3163
(715) 526-4019

Map and Direction




Healthcare Provider's Profile

Full Name1 Vision S.c.
TypeFacility
SpecialityOptometrist
Location150a County Rd B, Shawano, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033197397
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 05/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880725308
  • Enrollment ID: O20100628000717

Medical Identifiers

Medical identifiers for 1 Vision S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033197397NPI-NPPES
410033786OtherWIRAILROAD MEDICARE
38578000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2324 (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. 1 Vision S.c. acts as a billing entity for following providers:
Provider NameRoxanne E Doyle Keszo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821063009
PECOS PAC ID: 7012801004
Enrollment ID: I20040211000114
Provider NameWilliam J Stern
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013977347
PECOS PAC ID: 4587753181
Enrollment ID: I20071205000051
Provider NameTodd Wild
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992737704
PECOS PAC ID: 4486704442
Enrollment ID: I20090612000223
Provider NameThomas G Peterson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114043387
PECOS PAC ID: 5395876817
Enrollment ID: I20100628000647
Provider NameKavit L Beyersdorf
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447489661
PECOS PAC ID: 0446424709
Enrollment ID: I20111122000804
Provider NameNicole J Klotzbuecher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134641848
PECOS PAC ID: 0143592501
Enrollment ID: I20170818002102
Provider NameJacob Wittman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386160521
PECOS PAC ID: 1951675610
Enrollment ID: I20170919000843

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. 1 Vision S.c. 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
1 Vision S.c.
Po Box 513,
Shawano, WI 54166-0513

Ph: (715) 526-3163		1 Vision S.c.
150a County Rd B,
Shawano, WI 54166-7072

Ph: (715) 526-3163

Reviews and Comments


Optometrist in Shawano, WI

Mr. William James Stern, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 153 Woodlawn Dr, Shawano, WI 54166
Phone: 715-524-2553    Fax: 715-524-6383
Dr. Thomas G Peterson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 150a County Road B, Shawano, WI 54166
Phone: 715-526-3163    Fax: 715-526-4019
Dr. Nicole Jeannine Klotzbuecher, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 150 County Road B, Shawano, WI 54166
Phone: 715-526-3163    
Mr. Kavit Lache Beyersdorf, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 150a County Rd B, Shawano, WI 54166
Phone: 715-526-3163    Fax: 715-526-4019
Vision Source Shawano
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 301 W Green Bay St, Shawano, WI 54166
Phone: 715-524-4997    Fax: 715-524-4905
Janson A Mancheski, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1244 E Green Bay St, Janson Mancheski Od, Shawano, WI 54166
Phone: 715-526-2376    Fax: 715-526-9561

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.