Organization Active NPI

Harry a. Easom, M.D., S.C.

  • Ophthalmology Physician
  • Glendale, WI
National Provider Identifier
1306022116
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14484 Issued in WI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Harry A Easom, MDNPI 1295876068
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.