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Active NPI 1366576399 Individual Practitioner Male Practitioner

Thaddeus Daniel

Optometrist • Shawano, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thaddeus Daniel is a certified Optometrist practicing in Shawano, WI. With approximately 36 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1990, Thaddeus Daniel delivers high-quality medical care to the local community at 1244 E GREEN BAY ST.

Thaddeus Daniel accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1244 E Green Bay St
Optical Dept

Shawano, WI 541662208

Telephone 7155262376
Fax 7155269651
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1548287618

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Shawano, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +10.4 yrs vs City Avg
City Avg: 25.6 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Shawano, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daniel (36 Years) 36 Yrs
Shawano Specialty Average (25.6 Years) 25.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-19
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1780768333

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated March 19, 2025

Recorded as THADDEUS DANIEL

📍
Updated Practice Location February 18, 2025

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

📍
Updated Business Mailing Address February 18, 2025

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

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2011

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

📍
Updated Business Mailing Address December 01, 2011

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

👤
Provider Name / Credentials Updated December 01, 2011

Recorded as THADDEUS DANIEL, O.D.

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

Optometrist (License #2396 in CO)

🟢
Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1244 E Green Bay St

Shawano, WI 541662208

Phone: 7155262376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.