Eye Surgery Center of Wisconsin, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGERY CENTER OF WISCONSIN, LLC

Practice address

10148 S 27TH St
Oak Creek, WI 53154-5528

Phone

(414) 377-9000

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Robert McCarville

Title

Administrator

Phone

(417) 889-2040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Eye Surgery Center of Wisconsin LLCCCN 52C0001134

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Hart Beaman Moss, M.D.

  • Cornea and External Diseases Specialist Physician
  • Greenfield, WI
  • NPI 1437393675
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1205454626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10148 S 27TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545528",
            "telephone_number": "414-377-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10148 S 27TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545528",
            "telephone_number": "414-377-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MCCARVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Emerson
• Sydney E Erdmann
• Rebekah Erkes
• Evolved Chiropractic
• Eye Care Midwest LLC
• Elizabeth Faller, DPT
• Family Vision & Contact Lens CTRS SC
• Anne Farley, PHYSICAL THERAPIST
• Kathrynn Anne Fee, M.D.
• Torin Fendos, PTA

• Ambulatory Surgical Clinic/Center in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.