Brookfield Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOKFIELD FAMILY EYE CARE, LLC

Practice address

17550 W Bluemound Rd Ste D
Brookfield, WI 53045-2928

Phone

(262) 784-3700

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent Facchiano, O.D.

Title

Cfo/Secretary

Phone

(815) 885-3230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1255772067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610080427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 W BLUEMOUND RD STE D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452928",
            "telephone_number": "262-784-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "FACCHIANO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "815-885-3230",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.