Eye Care 4 U, S.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

152W00000X Issued in WI

Legal business name

EYE CARE 4 U, S.C.

Practice address

5455 Sheridan Rd
LL20
Kenosha, WI 53140-3734

Phone

(262) 656-0428

Fax

(262) 656-1623

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Fisch, OD

Title

President

Phone

(262) 656-0428

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376608083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 SHERIDAN RD",
            "address_2": "LL20",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403734",
            "telephone_number": "262-656-0428",
            "fax_number": "262-656-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 SHERIDAN RD",
            "address_2": "LL20",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403734",
            "telephone_number": "262-656-0428",
            "fax_number": "262-656-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE 4 U, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-656-0428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1936-TPA",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38523300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "152W00000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Estrada, MA, SLP
• Maylani Evangelista
• Natalie Lynn Evermon, PTA
• Ew Counseling, Inc.
• Extendicare Homes, Inc.
• Eye Xamz
• Andrea K-P Fafford, LCSW
• Leonard Simon Fagan, M.D.
• Dennis John Fahey, D.D.S.
• Emily Ann Fair, RBT

• Assisted Living Facility in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.