NPIMap

Organization Active NPI

Bright Side Eye Care, S.C.

Doing business as Drs. James & Enyart

  • Optometrist
  • Oregon, WI
National Provider Identifier
1013007475
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1673 Issued in WI
Legal business name
BRIGHT SIDE EYE CARE, S.C.
Doing business as
Drs. James & Enyart
Practice address
185 W Netherwood Rd
Oregon, WI 53575-1100
Phone
(608) 835-3579
Fax
(608) 835-5828
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Max Edward Melberg, ODNPI 1487175766
Title
Vice President
Phone
(608) 835-3579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1673 WI Primary

Addresses

Primary practice location

185 W Netherwood Rd
Oregon, WI 53575-1100

Mailing address

185 W Netherwood Rd
Oregon, WI 53575-1100
Phone (608) 835-3579

Other identifiers 2

IdentifierTypeStateIssuer
38614500MedicaidWI
38508900MedicaidWI

Other names 3

  • Drs. James & Enyart Doing business as
  • James and Enyart, Optometrist Former legal business name
  • Bright Side Eye Care, S.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000124 WI Part B Supplier - Clinic/Group Practice 6002824216 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milton, WI; Monona, WI; Oregon, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5003 Monona Dr
Monona, WI 53716
Phone (608) 223-0202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1013007475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W NETHERWOOD RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751100",
            "telephone_number": "608-835-3579",
            "fax_number": "608-835-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W NETHERWOOD RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751100",
            "telephone_number": "608-835-3579",
            "fax_number": "608-835-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE EYE CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MELBERG",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-835-3579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38614500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38508900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. James & Enyart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James and Enyart, Optometrist",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bright Side Eye Care, S.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bright Side Eye Care, S.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.