Individual provider Active NPI

Isaac Taylor Gerhartz

  • Optician
  • Greenfield, WI
National Provider Identifier
1013711399
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
ABOC-264958 Issued in WI
Practice address
10600 W Layton Ave
Greenfield, WI 53228-3258
Phone
(414) 209-0359
Fax
(414) 427-6168
NPI assigned
Apr 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X ABOC-264958 WI Primary

Addresses

Primary practice location

10600 W Layton Ave
Greenfield, WI 53228-3258

Mailing address

2562 S 85TH St
West Allis, WI 53227-2720
Phone (414) 304-9542

Other practice location 1

250 Wolf Run
Mukwonago, WI 53149-8470
Phone (262) 363-2895

Other practice location 2

W159S6530 Moorland Rd
Muskego, WI 53150-7515
Phone (414) 209-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ABOC-264958WIMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1013711399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 S 85TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272720",
            "telephone_number": "414-304-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283258",
            "telephone_number": "414-209-0359",
            "fax_number": "414-427-6168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Wolf Run",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531498470",
            "country_code": "US",
            "telephone_number": "262-363-2895",
            "fax_number": "262-363-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W159S6530 Moorland Rd",
            "address_purpose": "LOCATION",
            "city": "Muskego",
            "state": "WI",
            "postal_code": "531507515",
            "country_code": "US",
            "telephone_number": "414-209-0321",
            "fax_number": "414-422-9204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERHARTZ",
        "first_name": "ISAAC",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": "ABOC-264958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.