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Active NPI 1871547612 Individual Practitioner Male Practitioner

Robert Marcus Moen , ODO1

Optometrist • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Robert Moen, ODO1 is a registered healthcare professional specializing in Optometrist in West Bend, WI. Practice services are available at 1710 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 S Main St

West Bend, WI 530954938

Telephone 2623347077
Fax 2623383505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in West Bend, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.8 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
15 Specialists

Practicing in West Bend, 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

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 1823

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38577100 (WI)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1346868809

Doctor of Optometry

NPI 1437595279

Registered Pharmacist

Siok-Hiok Siau

Pharmacist

NPI 1790121630
NPI 1831443951

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1710 S MAIN ST, WEST BEND, WI 530954938 (Tel: 2623347077)

📍
Updated Business Mailing Address July 09, 2007

Registered at 5154 S 18TH AVE, WEST BEND, WI 530959281 (Tel: 2626773979)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT MOEN, O.D.O1/

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #1823 in WI)

🟢
Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871547612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

5154 S 18th Ave

West Bend, WI 530959281

Phone: 2626773979

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.