Active NPI
Harry a. Easom, M.D., S.C.
- Ophthalmology Physician
- Glendale, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14484
- Legal business name
- HARRY A. EASOM, M.D., S.C.
- Practice address
- 377 W River Woods Pkwy
Suite 115
Glendale, WI 53212-1088 - Phone
- (414) 271-7200
- Fax
- (414) 271-7278
- NPI assigned
- Jan 11, 2008
- Last updated
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harry A Easom, MD
- Title
- President
- Phone
- (414) 271-7200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14484 | WI | Primary |
Addresses
Primary practice location
377 W River Woods Pkwy
Suite 115
Glendale, WI 53212-1088
Mailing address
377 W River Woods Pkwy
Suite 115
Glendale, WI 53212-1088
Phone (414) 271-7200
National Provider Directory
National Provider DirectoryLocations
377 W River Woods Pkwy
#115
Glendale, WI 53212
Phone (414) 271-7200
377 W River Woods Pkwy
Ste 115
Glendale, WI 53212
Phone (414) 271-7200
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Milwaukee, WI
- NPI 1295876068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1306022116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 W RIVER WOODS PKWY",
"address_2": "SUITE 115",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121088",
"telephone_number": "414-271-7200",
"fax_number": "414-271-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 W RIVER WOODS PKWY",
"address_2": "SUITE 115",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121088",
"telephone_number": "414-271-7200",
"fax_number": "414-271-7278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY A. EASOM, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-11",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "EASOM",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-271-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WI",
"license": "14484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.