Organization Active NPI

Site 4 Eyes

  • Optometrist
  • Franklin, WI
National Provider Identifier
1043859341
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SITE 4 EYES
Practice address
7245 S 76TH St
Franklin, WI 53132-9041
Phone
(414) 855-0469
Fax
(414) 855-0492
NPI assigned
Jan 3, 2020
Organization subpart
Yes
Parent organization
KA CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Kristina Leticia Wagner
Title
President
Phone
(414) 855-0469

Specialties & licenses 1

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

Addresses

Primary practice location

7245 S 76TH St
Franklin, WI 53132-9041

Mailing address

7245 S 76TH St
Franklin, WI 53132-9041
Phone (414) 855-0469

National Provider Directory

National Provider Directory
Part of
Site 4 Eyes

Locations

7245 S 76th St
Franklin, WI 53132
Phone (414) 855-0469

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1043859341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-855-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-855-0469",
            "fax_number": "414-855-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITE 4 EYES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KA CONSULTING",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-855-0469"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.