Organization Active NPI

Muller Eyecare Associates LTD

  • Optometrist
  • Green Bay, WI
National Provider Identifier
1447441779
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MULLER EYECARE ASSOCIATES LTD
Practice address
1776 E Mason St
Green Bay, WI 54302
Phone
(920) 468-8907
Fax
(920) 468-0225
NPI assigned
Aug 1, 2007
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Ms. Teresa A Runte
Title
President
Phone
(920) 468-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1776 E Mason St
Green Bay, WI 54302

Mailing address

1776 E Mason St
Green Bay, WI 54302-3251
Phone (920) 468-8907

Other identifiers 1

IdentifierTypeStateIssuer
410038845OtherWIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1776 E Mason St
Green Bay, WI 54302
Phone (920) 468-8907

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1447441779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023251",
            "telephone_number": "920-468-8907",
            "fax_number": "920-468-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54302",
            "telephone_number": "920-468-8907",
            "fax_number": "920-468-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLER EYECARE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "RUNTE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-468-8907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410038845",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.