John A Vukich, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

30091-020 Issued in WI

Practice address

10425 W North Ave Ste 140
Wauwatosa, WI 53226-2400

Phone

(414) 877-6414

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Emory University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Eye Care of Wisconsin SCGroup PAC ID 7214268903, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.51 of 100Reported as group

Quality

97.5

Improvement activities

40

Cost

91.69

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Eye Care of Wisconsin SC

  • Ophthalmology Physician
  • Wauwatosa, WI
  • NPI 1992350375
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1124065537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 W OLD SHAKOPEE RD # 150",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373107",
            "telephone_number": "608-282-2000",
            "fax_number": "608-282-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 140",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-877-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 Oakdale Ave N Ste 140",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222961",
            "country_code": "US",
            "telephone_number": "612-445-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUKICH",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "30091-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "2128",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31478100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Vogelgesang
• Sherri Vogt, OTR
• Amanda Voigtlander
• Shawnee Vollmer, PHARMD
• Breanna M Vretenar
• Terri Wagner, M.S., CCC-SLP
• Charles Jay Waisbren, MD
• Julie B Waisbren, MD
• Wal-Mart Stores East LP
• Walgreen Co

• 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 Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.