Eye Physician Associates, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

3867120 Issued in WI

Legal business name

EYE PHYSICIAN ASSOCIATES, S.C.

Doing business as

Eye Physician Associates, S.C.

Practice address

1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3396

Phone

(262) 243-3001

Fax

(262) 243-3006

NPI assigned

Apr 6, 2011

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE PHYSICIAN ASSOCIATES (OPTICAL)As reported in NPPES

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

Authorized official

Name

Dr. Charles Yang, M.D.NPI 1992784250

Title

President

Phone

(414) 928-2020

Specialties & licenses 4

Addresses

Other identifiers 13

Other names 1

• Eye Physician Associates, S.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Eye Physician Associates, S.C.

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1457331894

  9931171402

  Same PAC ID

Part of

Eye Physicians Associat

Locations

Practitioners 25

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.

• Charles B Yang, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1992784250
  NPD Authorized official
• Robert William Bjerregaard, M.D.

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1912352832
  NPD
• Jaime D Blanchard, O.D.

  • Optometrist
  • West Allis, WI
  • NPI 1700880499
  NPD
• Rosemarie M Brueggeman, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1306825674
  NPD
• Dale R. Buettner, O.D.

  • Optometrist
  • Franklin, WI
  • NPI 1194737924
  NPD
• Marc D Hirsch, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1386624120
  NPD
• Emy Lutchka Boente, OD

  • Optometrist
  • Greenfield, WI
  • NPI 1487376695
  NPD
• Vijayalakshmi L D Vadrevu, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1932292364
  NPD
• Andrew B Zolot, MD

  • Ophthalmology Physician
  • Greenfield, WI
  • NPI 1285258574
  NPD
• Hoda Ahmadi, M.D.

  • Ophthalmology Physician
  • Elkhorn, WI
  • NPI 1447459912
  NPD (past)
• Ronald Z Arnold, DPM

  • Podiatrist
  • Brown Deer, WI
  • NPI 1861594905
  NPD (past)
• Robert M Blankenbehler, O.D

  • Optometrist
  • Milwaukee, WI
  • NPI 1700034931
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1427347822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W. LAYTON AVE",
            "address_2": "STE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204136",
            "telephone_number": "414-260-0789",
            "fax_number": "414-210-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W LIEBAU RD",
            "address_2": "SUITE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923396",
            "telephone_number": "262-243-3001",
            "fax_number": "262-243-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIAN ASSOCIATES, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIAN ASSOCIATES (OPTICAL)",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-928-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "3427120",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "4492620",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "4839520",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "3867120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32735700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189991",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34249800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851590343",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OZAUKEE PTAN",
            "identifier": "000046037",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32306500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38632200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS  ASSIGNED",
            "identifier": "124580001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38616200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34678800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38622400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "73605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C017777",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Physician Associates, S.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Physician Associates, S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Eschrich, M.S., TLPC
• Emma Essex
• John Henry Etzweiler, D.C.
• Tanisha L Evans
• Joan V. Ewig, RD
• Chizoba Adamma Ezenyi
• Meghan M. Fabrizi, M.D.
• Karlee Fahey
• Falcon Psychological Servics
• Lea Fanella

• Ophthalmology Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.