Individual provider Active NPI

Maria Martha Steck, O.D.

  • Optometrist
  • Wauwatosa, WI
National Provider Identifier
1306966379
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2342 Issued in WI
Practice address
11530 W Burleigh St
Space 110
Wauwatosa, WI 53222
Phone
(414) 453-2275
NPI assigned
Mar 30, 2007
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2342 WI
Optometrist 152W00000X 2342 WI Primary

Addresses

Primary practice location

11530 W Burleigh St
Space 110
Wauwatosa, WI 53222

Mailing address

12520 Mac Alister Way Unit 205
New Berlin, WI 53151-8333
Phone (414) 628-4264

Other identifiers 1

IdentifierTypeStateIssuer
2342OtherWISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2342WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Luxottica of America Inc PastSince Nov 12, 2023 Accepting new patients

Locations

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

120 Martin Dr
Fredonia, WI 53021
Phone (262) 692-9000

2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020

10800 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-4848

8693 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 351-2020

Organizations & group practices 4

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1306966379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 MAC ALISTER WAY UNIT 205",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518333",
            "telephone_number": "414-628-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 W BURLEIGH ST",
            "address_2": "SPACE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "414-453-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECK",
        "first_name": "MARIA",
        "middle_name": "MARTHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WI",
            "license": "2342",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2342",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.