Neda Esmaili MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

55316-20 Issued in WI

Legal business name

NEDA ESMAILI MD SC

Practice address

377 West Riverwoods Parkway
Suite 115
Glendale, WI 53212

Phone

(414) 271-7200

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Neda Esmaili, MD

Title

Physician

Phone

(919) 672-0114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1447696539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 N PROSPECT AVE",
            "address_2": "APT 406",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022493",
            "telephone_number": "919-672-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WEST RIVERWOODS PARKWAY",
            "address_2": "SUITE 115",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-271-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA ESMAILI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "ESMAILI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-672-0114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "55316-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.