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

Dr. Korbin Daniel Kierstead, OD

Individual provider Optometrist · NPI 1558154021

Dr. Korbin Daniel Kierstead, OD is an Optometry in Appleton, Wisconsin. Qualified in 2025, 1 year ago. Practices with Wisconsin Vision, LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
1
Licensed in
FL, WI
In the registry since
2025
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

351 N Casaloma Dr
Appleton, WI 54913-9101
Phone: (920) 749-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4093-35 (WI)
Optometrist Taxonomy 152W00000X · Licence 6675 (FL)

Record details

NPI number1558154021
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 27, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address16800 W Cleveland Ave, New Berlin, WI 53151-3533

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Wisconsin Vision, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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