NPIMap

Organization Active NPI

Brookfield Sightlab, LTD

  • Ambulatory Surgical Clinic/Center
  • Brookfield, WI
National Provider Identifier
1063740637
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BROOKFIELD SIGHTLAB, LTD
Practice address
20350 Water Tower Blvd
200
Brookfield, WI 53045-3558
Phone
(262) 754-0860
Fax
(262) 789-0676
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Lanny B. Hale, M.D.NPI 1740262179
Title
Medical Director
Phone
(262) 754-0860

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

20350 Water Tower Blvd
200
Brookfield, WI 53045-3558

Mailing address

20350 Water Tower Blvd
200
Brookfield, WI 53045-3558
Phone (262) 754-0860

National Provider Directory

National Provider Directory
Tax ID family
Brookfield Sightlab LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1063740637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 WATER TOWER BLVD",
            "address_2": "200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453558",
            "telephone_number": "262-754-0860",
            "fax_number": "262-789-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20350 WATER TOWER BLVD",
            "address_2": "200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453558",
            "telephone_number": "262-754-0860",
            "fax_number": "262-789-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD SIGHTLAB, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LANNY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-754-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 19, 2009; 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.