Organization Active NPI

Savaglio Eye Clinic SC

  • Ophthalmology Physician
  • Kenosha, WI
National Provider Identifier
1245308477
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16444020 Issued in WI
Legal business name
SAVAGLIO EYE CLINIC SC
Practice address
3535 30TH Avenue
Suite 102
Kenosha, WI 53144
Phone
(262) 657-3636
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Vincent Paul Savaglio, MDNPI 1639247828
Title
Physician President
Phone
(262) 657-3636

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 16444020 WI Primary

Addresses

Primary practice location

3535 30TH Avenue
Suite 102
Kenosha, WI 53144

Mailing address

3535 30TH Avenue
Suite 102
Kenosha, WI 53144
Phone (262) 657-3636

Other identifiers 1

IdentifierTypeStateIssuer
31101700MedicaidWI

National Provider Directory

National Provider Directory

Locations

3535 30th Ave
Ste 102
Kenosha, WI 53144
Phone (262) 657-3636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1245308477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "SUITE 102",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-657-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "SUITE 102",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-657-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAGLIO EYE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SAVAGLIO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "262-657-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "16444020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31101700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.