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Thaddeus Daniel

Optometrist β€’ Shawano, WI

Active NPI 1366576399 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1244 E Green Bay St, Optical Dept
Shawano, WI 541662208

Call 7155262376 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1244 E Green Bay St
Optical Dept

Shawano, WI 541662208

Telephone 7155262376
Fax 7155269651
Organization at the Same NPPES Address or Phone
Wal-Mart Stores East Lp Facility NPI 1548287618

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1990

30-day fills

35 standardized 30-day fills in 2013

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,840 in 2013

The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2013.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

36 years (graduated 1990)

CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Thaddeus Daniel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Thaddeus Daniel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Shawano and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Thaddeus Daniel are from 2013.

8 active clinicians are listed under Optometrist with a practice address in Shawano, WI (1,161 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2013), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2013.

CMS Part D Β· Data Year 2013
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Restasis Cyclosporine 22 465 $4,650.96 β€”
Latanoprost Latanoprost 13 199 $188.62 β€”

Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-19
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES WI 2359

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES CO 2396

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20250228000887

Enrollment State Jurisdiction

WI

PECOS Control ID

8820019771

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1780768333

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 19, 2025

Recorded as THADDEUS DANIEL

πŸ“
Updated Practice Location February 18, 2025

Registered at 1244 E GREEN BAY ST, OPTICAL DEPT, SHAWANO, WI 541662208 (Tel: 7155262376)

πŸ“
Updated Business Mailing Address February 18, 2025

Registered at 1244 E GREEN BAY ST, SHAWANO, WI 541662208 (Tel: 7155262376)

βœ…
NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2011

Registered at 1860 WOODMOOR DR, SUITE 103, MONUMENT, CO 801329093 (Tel: 7194882042)

πŸ“
Business Mailing Address (Initial Record) December 01, 2011

Registered at 1860 WOODMOOR DR, SUITE 103, MONUMENT, CO 801329093 (Tel: 7194882042)

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2011

Recorded as THADDEUS DANIEL, O.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

Optometrist (license number reported to NPPES: CO 2396)

🟒
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366576399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: March 19, 2025
Sole Proprietor: Yes

Other Optometrists in Shawano

Healthcare providers in Shawano

Mailing Address

1244 E Green Bay St

Shawano, WI 541662208

Phone: 7155262376

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.