Organization Active NPI

Monroe Family Eyecare, LLC

  • Corneal and Contact Management Optometrist
  • Monroe, WI
National Provider Identifier
1063531408
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1670 Issued in WI
Legal business name
MONROE FAMILY EYECARE, LLC
Practice address
1113 17TH Ave
Monroe, WI 53566-2063
Phone
(608) 325-5606
Fax
(608) 325-5637
NPI assigned
Mar 28, 2007
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. James Healy, O.D.NPI 1053487124
Title
Optometrist Owner
Phone
(608) 325-5606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1670 WI Primary

Addresses

Primary practice location

1113 17TH Ave
Monroe, WI 53566-2063

Mailing address

PO Box 299
Monroe, WI 53566-0299
Phone (608) 325-5606

Other names 1

  • Mueller & Healy LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719000675 WI Part B Supplier - Clinic/Group Practice 0941289300 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, WI

National Provider Directory

National Provider Directory

Locations

1113 17th Ave
Monroe, WI 53566
Phone (608) 325-5606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1063531408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535660299",
            "telephone_number": "608-325-5606",
            "fax_number": "608-325-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 17TH AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662063",
            "telephone_number": "608-325-5606",
            "fax_number": "608-325-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "608-325-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WI",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mueller & Healy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.