NPIMap

Organization Active NPI

Milwaukee Eye Care Associates S.C.

  • Optician
  • Franklin, WI
National Provider Identifier
1376769331
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MILWAUKEE EYE CARE ASSOCIATES S.C.
Practice address
9200 W Loomis Rd
Suite 204
Franklin, WI 53132-8887
Phone
(414) 271-2020
Fax
(414) 525-1354
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Miss Kang B Yang
Title
Administrative Assistant
Phone
(414) 271-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

9200 W Loomis Rd
Suite 204
Franklin, WI 53132-8887

Mailing address

1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930094794 WI DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 8325028731 Practice locations: Franklin, WI

National Provider Directory

National Provider Directory
Tax ID family
Milwaukee Eye Care Assoc SC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8909 N Port Washington Rd
Unit 102
Bayside, WI 53217
Phone (414) 271-2020

9200 W Loomis Rd
Ste 204
Franklin, WI 53132
Phone (414) 271-2020

Ownership & related parties

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1376769331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022408",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD",
            "address_2": "SUITE 204",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328887",
            "telephone_number": "414-271-2020",
            "fax_number": "414-525-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE EYE CARE ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "KANG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "414-271-2020",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.