Fitchburg Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FITCHBURG FAMILY EYE CARE LLC

Practice address

6635 McKee Rd
Madison, WI 53719-5023

Phone

(608) 299-9777

Fax

(608) 299-9775

NPI assigned

Apr 25, 2021

Organization subpart

No

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

Authorized official

Name

Jingping Xu, ODNPI 1083020309

Title

Member

Phone

(502) 235-8472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jingping Xu, O.D.

  • Optometrist
  • Madison, WI
  • NPI 1083020309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1104408590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 LEO MARY ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537119305",
            "telephone_number": "502-235-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 MCKEE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195023",
            "telephone_number": "608-299-9777",
            "fax_number": "608-299-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JINGPING",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-235-8472",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Fisher, MS CCC SLP
• Nira M Fisher
• Kathryn Fishnick
• Mikiyas Fitawok, CAA
• Janet Lynn Fitch, OTR/L
• Helen R Fitzgerald, MSSW
• Judith E Fitzgerald, MD
• Stacy Marie Fitzgerald, RN
• James H Fitzpatrick, MD
• Kevin R Fitzpatrick, PT

• Optometrist in Madison, WI
• Providers in Madison, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.