Active NPI
Maria Martha Steck, O.D.
- Optometrist
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2342
- Practice address
- 11530 W Burleigh St
Space 110
Wauwatosa, WI 53222 - Phone
- (414) 453-2275
- NPI assigned
- Mar 30, 2007
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2342 | Other | WI | STATE 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2342 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.