Organization Active NPI

Bronze Optical, LLC

  • Eyewear Supplier
  • Milwaukee, WI
National Provider Identifier
1396912325
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on May 8, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.