Active NPI
Amy H Piko, O.D.
- Optometrist
- Pleasant Prairie, WI
National Provider Identifier
1215910880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009771
- Practice address
- 7707 94TH Ave
Pleasant Prairie, WI 53158-1955 - Phone
- (262) 597-1040
- Fax
- (262) 597-1041
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009771 | IL | Primary |
| Optometrist | 152W00000X | 3369-35 | WI |
Addresses
Primary practice location
7707 94TH Ave
Pleasant Prairie, WI 53158-1955
Mailing address
7707 94TH Ave
Pleasant Prairie, WI 53158-1955
Phone (262) 597-1040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009771 | IL | MD | Optometrist |
| 3369-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Family Eyecare LLC | Current | Accepting new patients |
Locations
7707 94th Ave
Pleasant Prairie, WI 53158
Phone (262) 597-1037
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Pleasant Prairie, WI
- NPI 1427439751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1215910880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 94TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581955",
"telephone_number": "262-597-1040",
"fax_number": "262-597-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 94TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581955",
"telephone_number": "262-597-1040",
"fax_number": "262-597-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKO",
"first_name": "AMY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009771",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3369-35",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.