Medical Eye Associates, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MEDICAL EYE ASSOCIATES, S.C.

Practice address

201 N Mayfair Rd Ste 525
Wauwatosa, WI 53226-4216

Phone

(262) 547-3352

NPI assigned

Sep 29, 2021

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayla McCullough

Title

Practice Administrator

Phone

(262) 506-1627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medical Eye Associates, S.C.

  • Ophthalmology Physician
  • Waukesha, WI
  • NPI 1023066636

  0941195036

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Medical Eye Assoc SC2 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.

• Medical Eye Associates, S.C.

  • Ophthalmology Physician
  • Waukesha, WI
  • NPI 1023066636
  NPD tax ID

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1073285912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 312",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883407",
            "telephone_number": "262-506-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAYFAIR RD STE 525",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264216",
            "telephone_number": "262-547-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "262-506-1627"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann McMillan, APNP
• Yawana McMurtry
• Lanette J McQuitty, CPM, LM
• Sarah McSorley, LCSW, SAC-IT
• Me Time Their Time Case Management Agency
• Medical Scanning Consultants, P.a. (Rayus Radiology)
• Jeanne M Medina, MD
• John Thomas Meek, OD
• Milind Mehta, M.D.
• Alexis Meidenbauer, PA-C

• Ophthalmology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.