Organization Active NPI

Eye Care Vision Center of Wauwatosa, Inc

  • Optometrist
  • Wauwatosa, WI
National Provider Identifier
1356471148
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2942 Issued in WI
Legal business name
EYE CARE VISION CENTER OF WAUWATOSA, INC
Practice address
6412 W North Ave
Wauwatosa, WI 53213-1527
Phone
(414) 774-2020
NPI assigned
Mar 7, 2007
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Elizabeth Louise Baron, ODNPI 1891880118
Title
Optometrist, Owner
Phone
(414) 774-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2942 WI Primary

Addresses

Primary practice location

6412 W North Ave
Wauwatosa, WI 53213-1527

Mailing address

6412 W North Ave
Wauwatosa, WI 53213-2015
Phone (414) 774-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1356471148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-774-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131527",
            "telephone_number": "414-774-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE VISION CENTER OF WAUWATOSA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "414-774-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2014; 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.