MIKOLAJ NOWOBILSKI (OD) – Optometrist, NPI 1285319020

MIKOLAJ NOWOBILSKI (OD) is a healthcare provider. based in Mt pleasant, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3923-35 (WI). The NPI Number for MIKOLAJ NOWOBILSKI (OD) is 1285319020

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MIKOLAJ NOWOBILSKI (OD)
NPI
1285319020
Phone
(262) 637-3733
Address
2860 S GREEN BAY RD
Enumeration Date
20 June 2023
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2626373733
Graduation Year
2023 (3 years ago)
PAC ID
9335500164
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20230726003216
Address ID
WI534064968MO2860XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for MIKOLAJ NOWOBILSKI (OD)

  • 2860 S GREEN BAY RD

    MT PLEASANT, WI 534064962

    Phone: (262) 637-3733

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $737.

Total Amount is formed as General ($737) + Research ($0) + Ownership ($0) = $737.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($462).

Total Amount

$737

General + Research + Ownership

Payments

8

Total payment records

General Amount

$737

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230726003216IOptometryWITBD
I20240826002102IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456684471View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MIKOLAJ NOWOBILSKI (OD) in U.S. healthcare records?
The official identifier for MIKOLAJ NOWOBILSKI (OD) is NPI 1285319020.
Active or inactive — what applies to MIKOLAJ NOWOBILSKI (OD)?
You should see MIKOLAJ NOWOBILSKI (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to MIKOLAJ NOWOBILSKI (OD)?
MIKOLAJ NOWOBILSKI (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MIKOLAJ NOWOBILSKI (OD)?
Directory geography for MIKOLAJ NOWOBILSKI (OD) centers on Mt Pleasant, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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