NPIMap

Organization Active NPI

Midwest Eye Laboratories Inc

  • Prosthetic/Orthotic Supplier
  • Eau Claire, WI
National Provider Identifier
1386861367
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MIDWEST EYE LABORATORIES INC
Practice address
4606 Commerce Valley Rd
Suite 201
Eau Claire, WI 54701-7075
Phone
(715) 833-2277
Fax
(715) 833-2295
NPI assigned
Apr 19, 2007
Last updated
Dec 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Mr. Michael R Barrett, B.C.O.NPI 1841416062
Title
President Ocularist
Phone
(715) 833-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1700X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4606 Commerce Valley Rd
Suite 201
Eau Claire, WI 54701-7075

Mailing address

4606 Commerce Valley Rd
Suite 201
Eau Claire, WI 54701-7075
Phone (715) 833-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038943 WI DME Supplier - Prosthetic PersonnelDME Supplier - Ocularist 0042338303 Practice locations: Eau Claire, WI

Other NPIs with the same Medicare PAC ID 2

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Midwest Eye Laboratories Inc4606 Commerce Valley Rd 201, Eau Claire, WI 54701-7075(715) 833-2277 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Midwest Eye Laboratories Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

4606 Commerce Valley Rd
Ste 201
Eau Claire, WI 54701
Phone (715) 833-2277

Practitioners & affiliated clinicians

Practitioners 1

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1386861367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 COMMERCE VALLEY RD",
            "address_2": "SUITE 201",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017075",
            "telephone_number": "715-833-2277",
            "fax_number": "715-833-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 COMMERCE VALLEY RD",
            "address_2": "SUITE 201",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017075",
            "telephone_number": "715-833-2277",
            "fax_number": "715-833-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OCULARIST",
        "authorized_official_telephone_number": "715-833-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.