Organization Active NPI

Ultimate Eye Care LLC

  • Optometrist
  • Madison, WI
National Provider Identifier
1083988620
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
324735 Issued in WI
Legal business name
ULTIMATE EYE CARE LLC
Practice address
53 W Towne Mall
Sears Optical
Madison, WI 53719-1019
Phone
(608) 829-3041
Fax
(608) 833-0754
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Richard Jun, O.D.NPI 1548373236
Title
Optometrist
Phone
(773) 495-8074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 324735 WI Primary

Addresses

Primary practice location

53 W Towne Mall
Sears Optical
Madison, WI 53719-1019

Mailing address

53 W Towne Mall
Sears Optical
Madison, WI 53719-1019
Phone (608) 829-3041

National Provider Directory

National Provider Directory

Locations

43 East Towne Mall
Madison, WI 53704
Phone (608) 242-2413

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": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1083988620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W TOWNE MALL",
            "address_2": "SEARS OPTICAL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191019",
            "telephone_number": "608-829-3041",
            "fax_number": "608-833-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W TOWNE MALL",
            "address_2": "SEARS OPTICAL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191019",
            "telephone_number": "608-829-3041",
            "fax_number": "608-833-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-495-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "324735",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 29, 2012; 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.