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

Dr. Thaddeus Daniel

Individual provider Optometrist · NPI 1366576399

Dr. Thaddeus Daniel is an Optometry in Shawano, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
36
Trained at
Illinois College of Optometry at Chicago
Licensed in
CO, WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1244 E Green Bay St Optical Dept
Shawano, WI 54166-2208
Phone: (715) 526-2376
Fax: (715) 526-9651
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2359 (WI)
Optometrist Taxonomy 152W00000X · Licence 2396 (CO)

Record details

NPI number1366576399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address1244 E Green Bay St, Shawano, WI 54166-2208

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawano