Organization Active NPI

Milwaukee Eye Surgeons SC

  • Ophthalmology Physician
  • Brookfield, WI
National Provider Identifier
1033738091
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MILWAUKEE EYE SURGEONS SC
Practice address
16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920
Phone
(414) 377-5550
Fax
(414) 377-5550
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Kenneth Weinlander, MDNPI 1003233255
Title
President
Phone
(414) 377-5550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X

Addresses

Primary practice location

16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920

Mailing address

16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920
Phone (414) 377-5550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@milwaukeeeyesurgeons.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527000984 WI Part B Supplier - Clinic/Group Practice 0143641316 Receives reassigned benefits from 2 practitioners
Practice locations: Brookfield, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2340146Milwaukee Eye Surgeons16650 W Bluemound Rd Suite 400B, Brookfield, WI 53005Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

740 N Plankinton Ave
Ste 836
Milwaukee, WI 53203
Phone (414) 377-5550

Practitioners & affiliated clinicians

Practitioners 2

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": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1033738091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD STE 400B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "414-377-5550",
            "fax_number": "414-377-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD STE 400B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "414-377-5550",
            "fax_number": "414-377-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE EYE SURGEONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "WEINLANDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-377-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@milwaukeeeyesurgeons.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "16650 W Bluemound Rd Ste 400B",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.