Active NPI
John Monty, OD
- Optometrist
- Greendale, WI
National Provider Identifier
1205977733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2451-035
- Practice address
- 5300 S 76TH St
Greendale, WI 53129-1102 - Phone
- (414) 421-9330
- Fax
- (414) 421-3159
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2451-035 | WI | Primary |
Addresses
Primary practice location
5300 S 76TH St
Greendale, WI 53129-1102
Mailing address
5300 S 76TH St
Greendale, WI 53129-1102
Phone (414) 421-9330
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2451-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herslof's, Inc | Current | Accepting new patients | |
| Herslof's, Inc | Current | Accepting new patients | |
| Herslof's, Inc | Optometrist | Current | Accepting new patients |
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
Locations
12000 W Carmen Ave
Milwaukee, WI 53225
Phone (414) 462-1300
1300 Capitol Dr
Pewaukee, WI 53072
Phone (262) 691-2929
411 E Silver Spring Dr
Whitefish Bay, WI 53217
Phone (414) 962-1250
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205977733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 S 76TH ST",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291102",
"telephone_number": "414-421-9330",
"fax_number": "414-421-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 S 76TH ST",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291102",
"telephone_number": "414-421-9330",
"fax_number": "414-421-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTY",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2451-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.