NPIMap

Organization Active NPI

University of Wisconsin Medical Foundation Inc

Doing business as UW Health Optical

  • Durable Medical Equipment & Medical Supplies
  • Middleton, WI
National Provider Identifier
1235322850
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Doing business as
UW Health Optical
Practice address
2349 Deming Way
2ND FLR
Middleton, WI 53562-5530
Phone
(608) 824-3937
NPI assigned
Aug 27, 2007
Last updated
Jun 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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

Authorized official

Name
Robert Flannery
Title
Cao & Cfo Uw Health-Uw Medical Foun
Phone
(608) 821-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2349 Deming Way
2ND FLR
Middleton, WI 53562-5530

Mailing address

7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5270

Other identifiers 1

IdentifierTypeStateIssuer
38722900MedicaidWI

Other names 1

  • UW Health Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078630 WI DME Supplier - Multi-Specialty - Physician 6608785464 Practice locations: Middleton, WI

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Uwmf Inc Fam Prac26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uw Health Care DirectMiddleton, WI, CCN 527220 Home health agency 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466208000000",
    "number": "1235322850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5270",
            "fax_number": "608-833-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 DEMING WAY",
            "address_2": "2ND FLR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625530",
            "telephone_number": "608-824-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2016-06-18",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CAO & CFO UW HEALTH-UW MEDICAL FOUN",
        "authorized_official_telephone_number": "608-821-4223"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38722900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.