Active NPI
George L Rowe, O.D.
- Optometrist
- Milwaukee, WI
National Provider Identifier
1457425886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2147-035
- Practice address
- 12000 W Carmen Ave
Milwaukee, WI 53225-2116 - Phone
- (414) 462-1300
- NPI assigned
- Nov 18, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2147-035 | WI | Primary |
Addresses
Primary practice location
12000 W Carmen Ave
Milwaukee, WI 53225-2116
Mailing address
32859 W Lakeview Dr
Nashotah, WI 53058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38528800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2147-035 | WI | MD | Optometrist |
| 2147 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Mart, Inc | Past | Accepting new patients | |
| Vision Mart Inc | Optometrist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457425886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32859 W LAKEVIEW DR",
"city": "NASHOTAH",
"state": "WI",
"postal_code": "53058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 W CARMEN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532252116",
"telephone_number": "414-462-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "GEORGE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2147-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38528800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.