NPIMap

Organization Active NPI

Vision Mart, Inc

Doing business as Vision Mart

  • Optician
  • Milwaukee, WI
National Provider Identifier
1184753352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VISION MART, INC
Doing business as
Vision Mart
Practice address
2110 E Oklahoma Ave
Milwaukee, WI 53207-2922
Phone
(414) 747-9977
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vicki Dickman
Title
Pres
Phone
(414) 462-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

2110 E Oklahoma Ave
Milwaukee, WI 53207-2922

Mailing address

12000 W Carmen Ave
Milwaukee, WI 53225-2116
Phone (414) 462-1300

Other names 1

  • VISION MART Doing business as

National Provider Directory

National Provider Directory

Locations

13685 W Capitol Dr
Brookfield, WI 53005
Phone (262) 790-0088

150 W Holt Ave
Milwaukee, WI 53207
Phone (414) 747-9977

2923 N 15th St
Sheboygan, WI 53083
Phone (920) 452-3900

920 Gateway Ct
West Bend, WI 53095
Phone (262) 306-1400

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184753352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 W CARMEN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532252116",
            "telephone_number": "414-462-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072922",
            "telephone_number": "414-747-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION MART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "414-462-1300"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.