Organization Active NPI

Medical Eye Associates, S.C.

  • Eyewear Supplier
  • Mukwonago, WI
National Provider Identifier
1124450168
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MEDICAL EYE ASSOCIATES, S.C.
Practice address
400 Bay View Rd
Suite D
Mukwonago, WI 53149-1770
Phone
(262) 363-1515
NPI assigned
Aug 1, 2013
Organization subpart
Yes
Parent organization
MEDICAL EYE ASSOCIATES, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Dr. Gregory R. Lochen, M.D.
Title
President
Phone
(262) 547-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

400 Bay View Rd
Suite D
Mukwonago, WI 53149-1770

Mailing address

1111 Delafield St
Suite 312
Waukesha, WI 53188-3417
Phone (262) 547-3352

Other names 1

  • Main OPtical Other name

National Provider Directory

National Provider Directory
Part of
Medical Eye Assoc SC

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1124450168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 312",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-547-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BAY VIEW RD",
            "address_2": "SUITE D",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491770",
            "telephone_number": "262-363-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE ASSOCIATES, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL EYE ASSOCIATES, S.C.",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "LOCHEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-547-3352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main OPtical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Main OPtical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mukwonago, WI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.