Active NPI
Isaac Taylor Gerhartz
- Optician
- Greenfield, WI
National Provider Identifier
1013711399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- ABOC-264958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ABOC-264958 | WI | MD | Optician |
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.