Cedar Creek Eye Assciates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2917-035 Issued in WI

Legal business name

CEDAR CREEK EYE ASSCIATES, LLC

Practice address

5009 Columbia Rd
Cedarburg, WI 53012-9189

Phone

(262) 376-1800

Fax

(262) 376-1800

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Elliott Conto, O.D.

Title

Managing Member

Phone

(262) 376-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Alec M Compton, OD

  • Optometrist
  • New Holstein, WI
  • NPI 1851281943
  NPD (past)
• Aaron R Gruber, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1548558869
  NPD (past)
• Cheryl Marie Roers Ott, O.D.

  • Optometrist
  • New Holstein, WI
  • NPI 1780662577
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427106129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 COLUMBIA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129189",
            "telephone_number": "262-376-1800",
            "fax_number": "262-376-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 COLUMBIA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129189",
            "telephone_number": "262-376-1800",
            "fax_number": "262-376-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK EYE ASSCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "262-376-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2917-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Bye, M.S.
• Robin Campbell, L.AC.
• Kirsten Canavan, FNP
• Amy Lynn Carter
• Kimberly Caverson, MS, CCC/SLP
• Cedar Springs Health & Rehabilitation Center
• Cedarburg Al, LLC
• Cedarburg Fire / Rescue
• Cedarburg Physical Therapy, Inc
• Cedarburg Prescription Center Inc (North Shore Pharmacy)

• Optometrist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.