Steven Ticknor, OD
NPI 1174260715 · Optometrist · Kenosha, WI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Steven Ticknor, OD is a Optometrist provider in Kenosha, WI (NPI 1174260715).
Provider details
- NPI number
- 1174260715
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3810-35 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Steven Ticknor's NPI number?
- Steven Ticknor's National Provider Identifier (NPI) is 1174260715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Steven Ticknor's specialty?
- Steven Ticknor is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Steven Ticknor located?
- Steven Ticknor's practice location on file with NPPES is 3621 Market Ln, Kenosha, WI 53144-1553.
- What is Steven Ticknor's phone number?
- The practice phone number listed in the NPPES registry for Steven Ticknor is (262) 658-8119.
- Does Steven Ticknor accept Medicare?
- Steven Ticknor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Steven Ticknor's NPI active?
- Yes — Steven Ticknor's NPI (1174260715) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.