NPIMap

Organization Active NPI

Eye Care Specialists, S.C.

  • Ophthalmology Physician
  • West Allis, WI
National Provider Identifier
1063587038
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207W00000X Issued in WI
Legal business name
EYE CARE SPECIALISTS, S.C.
Practice address
2601 S 102ND St
West Allis, WI 53227-2109
Phone
(414) 321-7520
Fax
(414) 321-9383
NPI assigned
Nov 22, 2006
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Kayla Creed, MBA
Title
Executive Director
Phone
(414) 321-7520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X 207W00000X WI Primary

Addresses

Primary practice location

2601 S 102ND St
West Allis, WI 53227-2109

Mailing address

2601 S 102ND St
West Allis, WI 53227-2109
Phone (414) 321-7520

Other practice location 1

2323 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-1506
Phone (414) 258-4550

Other practice location 2

633 W Wisconsin Ave Ste 1400
Milwaukee, WI 53203-1922
Phone (414) 298-0099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000575 WI Part B Supplier - Clinic/Group Practice 4082667233 Receives reassigned benefits from 7 practitioners
Practice locations: Milwaukee, WI; West Allis, WI; Wauwatosa, WI

National Provider Directory

National Provider Directory

Locations

10200 W Innovation Dr
Ste 701
Milwaukee, WI 53226
Phone (414) 302-9196

633 W Wisconsin Ave
Ste 1400
Milwaukee, WI 53203
Phone (414) 298-0099

2323 N Mayfair Rd
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-4550

10150 W National Ave
#S100
West Allis, WI 53227

2601 S 102nd St
West Allis, WI 53227
Phone (414) 321-7520

Practitioners & affiliated clinicians

Practitioners 11

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1063587038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S 102ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272109",
            "telephone_number": "414-321-7520",
            "fax_number": "414-321-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S 102ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272109",
            "telephone_number": "414-321-7520",
            "fax_number": "414-321-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 N Mayfair Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261506",
            "country_code": "US",
            "telephone_number": "414-258-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 W Wisconsin Ave Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532031922",
            "country_code": "US",
            "telephone_number": "414-298-0099",
            "fax_number": "414-298-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "CREED",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-321-7520",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "207W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.