Mallory Florence Andrews, OD
Optometrist in Sheboygan, WI. Individual provider (NPI-1).
NPI number1780177675
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1780177675
- Entity type
- Individual (NPI-1)
- Name
- Mallory Florence Andrews
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3506-35 | WI | Yes |
| 152WP0200X | Optometrist, Pediatrics | 3506-35 | WI | |
| 152WC0802X | Optometrist, Corneal and Contact Management | 3506-35 | WI |
Practice location
2414 Kohler Memorial DrSheboygan, WI 53081-3129
Phone 920-459-1102
Mailing address
2735 N 30th StSheboygan, WI 53083-3624
Phone 920-254-5671
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Optometrist providers in Sheboygan · All 1,722 providers in Sheboygan
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