Eye Site Vision Care Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1834 Issued in WI

Legal business name

EYE SITE VISION CARE CENTER INC

Practice address

15425 W National Ave
New Berlin, WI 53151-5156

Phone

(262) 789-6929

Fax

(262) 789-1432

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Motisi, ODNPI 1417972589

Title

Owner

Phone

(262) 786-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 6

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.

• Heather Marie Motisi, OD

  • Optometrist
  • New Berlin, WI
  • NPI 1245594274
  Medicare reassignment Care Compare group NPD
• Thomas Motisi, O.D.

  • Optometrist
  • New Berlin, WI
  • NPI 1417972589
  Medicare reassignment NPD Authorized official
• Kelly Lyn Schermeister, O.D.

  • Optometrist
  • Brookfield, WI
  • NPI 1790097343
  Medicare reassignment Care Compare group NPD
• Anne-Marie Christine Laschen, O.D.

  • Optometrist
  • Delavan, WI
  • NPI 1588614549
  NPD (past)
• Scott Andrew Schumacher

  • Optometrist
  • Greenfield, WI
  • NPI 1457339343
  NPD (past)
• Brian Joseph Weaver, O.D., M.B.A.

  • Optometrist
  • Shorewood, WI
  • NPI 1568565349
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1467664680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515156",
            "telephone_number": "262-789-6929",
            "fax_number": "262-789-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515156",
            "telephone_number": "262-789-6929",
            "fax_number": "262-789-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE VISION CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "MOTISI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-786-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliesha Ruth Evans, D.C.
• Everside Health, LLC (Everside Health - New Berlin)
• Evidence-Based Counseling Solutions LLC
• Chante M Ewing
• Eye Boutique, LLC
• Viane Faily, MD
• Faith in Action Homes, LLC
• Mary Jane Farley, LCSW
• Kathryn Rae Farwell, M.D.
• Roseann Fasi

• Optometrist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.