NPIMap

Organization Active NPI

414 Eyes

  • Optometrist
  • Milwaukee, WI
National Provider Identifier
1235870155
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
414 EYES
Practice address
3925 S 76TH St
Milwaukee, WI 53220-2320
Phone
(414) 543-2900
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Janice Fan Smith, ODNPI 1740664705
Title
Optometrist
Phone
(504) 495-3887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3925 S 76TH St
Milwaukee, WI 53220-2320

Mailing address

2249 S Aldrich St
Milwaukee, WI 53207-1303
Phone (504) 495-3887

National Provider Directory

National Provider Directory

Locations

3925 S 76th St
Milwaukee, WI 53220
Phone (414) 543-2900

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": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1235870155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 S ALDRICH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071303",
            "telephone_number": "504-495-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "414-543-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "414 EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "FAN SMITH",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-495-3887",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2022; 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.