Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea C So, OD

Individual provider Optometrist · NPI 1831531557

Andrea C So, OD is an Optometry in Madison, Wisconsin. Qualified in 2013, 13 years ago. Practices with Marshall B Ketchum University, a 55-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
13
Licensed in
CA, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1025 Regent St
Madison, WI 53715-1248
Phone: (608) 282-2000
Fax: (608) 282-2172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14890 (CA)
Optometrist Taxonomy 152W00000X · Licence 3316-035 (WI)

Record details

NPI number1831531557
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESFebruary 25, 2019
Mailing address1025 Regent St, Madison, WI 53715-1248

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Marshall B Ketchum University — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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