NPIMap

Organization Active NPI

Milwaukee Eye Care Associates S.C.

  • Optician
  • Milwaukee, WI
National Provider Identifier
1013133065
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MILWAUKEE EYE CARE ASSOCIATES S.C.
Practice address
1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone
(414) 271-2020
Fax
(414) 272-3932
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Miss Kang B Yang
Title
HR Manager & Provider Credentialing
Phone
(414) 977-3370

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

1684 N Prospect Ave
Milwaukee, WI 53202-2408

Mailing address

1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020

Other practice location 1

7095 S Ballpark Dr Ste 210
Franklin, WI 53132-6908
Phone (414) 271-2020

Other practice location 2

8909 N Port Washington Rd Unit 102
Bayside, WI 53217-1616
Phone (414) 271-2020

Other practice location 3

17280 W North Ave Ste 100
Brookfield, WI 53045-4366
Phone (414) 271-2020

Other identifiers 2

IdentifierTypeStateIssuer
38711800MedicaidWI
0576850004OtherWIDMERC PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092426 WI DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 8325028731 Practice locations: Bayside, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1013133065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022408",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022408",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7095 S Ballpark Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531326908",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "414-525-1354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8909 N Port Washington Rd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "WI",
            "postal_code": "532171616",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "414-375-6240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17280 W North Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454366",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "262-786-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILWAUKEE EYE CARE ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "KANG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HR MANAGER & PROVIDER CREDENTIALING",
        "authorized_official_telephone_number": "414-977-3370",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38711800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PIN",
            "identifier": "0576850004",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.