Eye Physician Associates, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE PHYSICIAN ASSOCIATES, S.C.

Practice address

4300 West Layton Avenue
Ste 100
Greenfield, WI 53220-5132

Phone

(414) 928-2020

Fax

(414) 210-3402

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Charles B Yang, MD

Title

Medical Director

Phone

(414) 928-2020

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Loomis Optical Doing business as

Locations

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1174217178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W. LAYTON AVE",
            "address_2": "STE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204136",
            "telephone_number": "414-260-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST LAYTON AVENUE",
            "address_2": "STE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532205132",
            "telephone_number": "414-928-2020",
            "fax_number": "414-210-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIAN ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-928-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32306500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32735700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0264580001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34249800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34678800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38616200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38622400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loomis Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin McQueen DC, LLC
• Melanie Espada
• Lynn J Estacio, RN
• James Edward Ethington, MD
• Laure Evchuk, PTA
• Terese G Fabian, COTA
• Abdirizak Gele Farah
• Justine Lynn Faraone, PTA
• Kenyata Farr, PTA
• Kirsten Farr, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.