Alwin Edakkunnathu, O.D.
NPI 1467899609 · Optometrist · Glendale, WI
Provider details
- NPI number
- 1467899609
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 3300-35 (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 tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
967 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 319 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 178 | $85 |
| Imaging of Retina92134 | 127 | $38 |
| Imaging of Optic Nerve92133 | 105 | $34 |
| Exam of Visual Field With Extended Testing92083 | 70 | $60 |
| Photography of the Retina92250 | 64 | $35 |
Practice location
Mailing address
Additional practice locations (2)
- 10320 N Port Washington RdMequon, WI 53092-5767Phone: (262) 241-1919Fax: (262) 241-9046
- 620 E Green Bay Ave Ste 124Saukville, WI 53080-2047Phone: (262) 241-1919Fax: (262) 241-9046
Registry dates
- Enumerated
- 2013-05-29
- Last updated
- 2021-04-17
- Certified
- 2021-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.