Active NPI
Medical Eye Associates, S.C.
- Optician
- Waukesha, WI
National Provider Identifier
1366560385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 44407
- Legal business name
- MEDICAL EYE ASSOCIATES, S.C.
- Practice address
- 1111 Delafield St
Suite 312
Waukesha, WI 53188 - Phone
- (262) 547-3352
- Fax
- (262) 547-9142
- NPI assigned
- Mar 27, 2007
- Organization subpart
- Yes
- Parent organization
- MEDICAL EYE ASSOCIATES, S.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandi Owings
- Title
- Practice Administrator
- Phone
- (414) 828-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 44407 | WI | Primary |
Addresses
Primary practice location
1111 Delafield St
Suite 312
Waukesha, WI 53188
Mailing address
1111 Delafield St
Suite 312
Waukesha, WI 53188
Phone (262) 547-3352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513382 | Other | WI | NVA |
| 927127 | Other | WI | VIPA |
Other names 1
- Main Optical
National Provider Directory
National Provider Directory- Part of
- Medical Eye Assoc SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1366560385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 312",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-547-3352",
"fax_number": "262-547-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 312",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-547-3352",
"fax_number": "262-547-9142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EYE ASSOCIATES, S.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL EYE ASSOCIATES, S.C.",
"enumeration_date": "2007-03-27",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "OWINGS",
"authorized_official_first_name": "SANDI",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "414-828-2012"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "WI",
"license": "44407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "513382",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIPA",
"identifier": "927127",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Main Optical",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Main Optical",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.