Individual provider Active NPI

Nebojsa Vesic, OD

  • Optometrist
  • Greendale, WI
National Provider Identifier
1295139129
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
336335 Issued in WI
Practice address
5300 S 76TH St
Greendale, WI 53129-1102
Phone
(414) 421-6450
NPI assigned
Oct 21, 2014
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 336335 WI Primary

Addresses

Primary practice location

5300 S 76TH St
Greendale, WI 53129-1102

Mailing address

5300 S 76TH St
Greendale, WI 53129-1102
Phone (414) 421-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001532 WI Practitioner - Optometry 2567751266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
336335WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Apr 18, 2016 Accepting new patients
Visionworks, Inc CurrentSince Apr 18, 2016 Accepting new patients
Schuster Family Eyecare LLC Optometrist CurrentSince Feb 16, 2020 Accepting new patients

Locations

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

5300 S 76th St
Greendale, WI 53129
Phone (414) 421-6450

W162N9235 Pershing Ave
Menomonee Fls, WI 53051
Phone (262) 946-6070

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

Interoperability endpoints

  • Direct secure messaging: 10712@visionworks.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1295139129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S 76TH ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291102",
            "telephone_number": "414-421-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S 76TH ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291102",
            "telephone_number": "414-421-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESIC",
        "first_name": "NEBOJSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "336335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, WI

Sources for this page

Verify at the official NPI Registry.