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

Dr. Jack Komro, DO

Individual provider Ophthalmology Physician · NPI 1134700719

Dr. Jack Komro, DO is an Ophthalmology in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
5
Licensed in
TX, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1087 W Mason St
Green Bay, WI 54303-1859
Phone: (920) 499-3102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3142 N Richmond St, Appleton, WI 54911-1151 — (920) 499-3102
  • 229 E Green Bay St, Shawano, WI 54166-2482 — (920) 499-3102

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 82077-21 (WI)
Ophthalmology Physician Taxonomy 207W00000X · Licence V6616 (TX)

Record details

NPI number1134700719
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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