Organization Active NPI

Steinhauer Family Eye Clinic, S.C.

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1063984698
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STEINHAUER FAMILY EYE CLINIC, S.C.
Practice address
2639 University Ave
Madison, WI 53705-3750
Phone
(608) 255-6407
Fax
(608) 255-1889
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Lindsay Volley
Title
Office Manager
Phone
(608) 255-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2639 University Ave
Madison, WI 53705-3750

Mailing address

2639 University Ave
Madison, WI 53705-3750
Phone (608) 255-6407

Other identifiers 3

IdentifierTypeStateIssuer
1316901044MedicaidWI
1518304799MedicaidWI
1669824801MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408001074 WI Part B Supplier - Clinic/Group Practice 4688915325 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

2639 University Ave
Madison, WI 53705
Phone (608) 255-6407

Practitioners & affiliated clinicians

Practitioners 3

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": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1063984698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-255-6407",
            "fax_number": "608-255-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-255-6407",
            "fax_number": "608-255-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEINHAUER FAMILY EYE CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "VOLLEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-255-6407"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316901044",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518304799",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669824801",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.