Active NPI
Bronze Optical, LLC
- Eyewear Supplier
- Milwaukee, WI
National Provider Identifier
1396912325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- BRONZE OPTICAL, LLC
- Practice address
- 1568 N Farwell Ave
Milwaukee, WI 53202-2366 - Phone
- (414) 221-7055
- Fax
- (414) 221-7056
- NPI assigned
- May 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Everette Bronze Quinton, ABOC
- Title
- Optician
- Phone
- (414) 221-7055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1568 N Farwell Ave
Milwaukee, WI 53202-2366
Mailing address
1568 N Farwell Ave
Milwaukee, WI 53202-2366
Phone (414) 221-7055
National Provider Directory
National Provider DirectoryLocations
1568 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 221-7055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1396912325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1568 N FARWELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022366",
"telephone_number": "414-221-7055",
"fax_number": "414-221-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 N FARWELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022366",
"telephone_number": "414-221-7055",
"fax_number": "414-221-7056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONZE OPTICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "QUINTON",
"authorized_official_first_name": "EVERETTE",
"authorized_official_middle_name": "BRONZE",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "414-221-7055",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ABOC"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.