Active NPI
Stuart W Natale, OD
- Optometrist
- Saukville, WI
National Provider Identifier
1427116375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- WI2716035
- Practice address
- 289 E Green Bay Ave
Saukville, WI 53080 - Phone
- (262) 268-2007
- Fax
- (262) 268-8279
- NPI assigned
- Dec 4, 2006
- Last updated
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | WI2716035 | WI | Primary |
Addresses
Primary practice location
289 E Green Bay Ave
Saukville, WI 53080
Mailing address
289 E Green Bay Ave
Saukville, WI 53080
Phone (262) 268-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38604600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WI2716035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Family Vision SC | Current | Accepting new patients | |
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
Locations
309 N Franklin St
Port Washington, WI 53074
Phone (262) 261-5252
289 E Green Bay Ave
Saukville, WI 53080
Phone (262) 268-2007
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Saukville, WI
- NPI 1437485125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1427116375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 E GREEN BAY AVE",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "53080",
"telephone_number": "262-268-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 E GREEN BAY AVE",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "53080",
"telephone_number": "262-268-2007",
"fax_number": "262-268-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATALE",
"first_name": "STUART",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "WI2716035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38604600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saukville, WI
- Gina Lynn Lusis, RPH
- George Stephen Mann III, PT
- Benjamin William Mattila, PHARMD
- Latisha Irene Metealf
- Midwest Audiology & Hearing Center Saukville LLC
- Diane Mary Ott, P.T.
- Shelby Pupp, AUD
- Riverside Physical Therapy & Pelvic Health, S.C.
- Riverview Physical Therapy & Sports Medicine ,S.C.
- Cary Joseph Rothman, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.