Organization Active NPI

Metro Eye Complete Family Eyecare SC

Doing business as Metro Eye

  • Eyewear Supplier
  • Milwaukee, WI
National Provider Identifier
1366680183
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2868-035 Issued in WI
Legal business name
METRO EYE COMPLETE FAMILY EYECARE SC
Doing business as
Metro Eye
Practice address
325 E. Chicago St.
Suite 100
Milwaukee, WI 53202-5836
Phone
(414) 727-5888
Fax
(414) 727-5889
NPI assigned
Feb 2, 2009
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Amy Jankowski, ODNPI 1174518161
Title
Ceo
Phone
(414) 727-5888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2868-035 WI Primary
Optometrist 152W00000X NU

Addresses

Primary practice location

325 E. Chicago St.
Suite 100
Milwaukee, WI 53202-5836

Mailing address

325 E. Chicago St.
Suite 100
Milwaukee, WI 53202-5836
Phone (414) 727-5888

Other names 1

  • METRO EYE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000139 WI Part B Supplier - Clinic/Group Practice 2264589324 Receives reassigned benefits from 3 practitioners
Practice locations: Milwaukee, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2027156Metro Eye325 E Chicago St, Milwaukee, WI 53202Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

301 N Water St
Milwaukee, WI 53202
Phone (414) 539-3524

325 E Chicago St
Milwaukee, WI 53202
Phone (414) 727-5888

325 E Chicago St
Ste 100
Milwaukee, WI 53202
Phone (414) 727-5888

Practitioners & affiliated clinicians

Practitioners 3

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": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1366680183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E. CHICAGO ST.",
            "address_2": "SUITE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025836",
            "telephone_number": "414-727-5888",
            "fax_number": "414-727-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E. CHICAGO ST.",
            "address_2": "SUITE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025836",
            "telephone_number": "414-727-5888",
            "fax_number": "414-727-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EYE COMPLETE FAMILY EYECARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-727-5888",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "2868-035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO EYE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METRO EYE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.