Eye-Q Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

2716-35 Issued in WI

Legal business name

EYE-Q OPTICAL

Practice address

309 N Franklin St
Port Washington, WI 53074-1905

Phone

(262) 261-5252

Fax

(262) 649-2310

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

James Aaron Doyle, MSHA, ABOC

Title

Owner/Optician

Phone

(262) 261-5252

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1467829523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N FRANKLIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741905",
            "telephone_number": "262-261-5252",
            "fax_number": "262-649-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N FRANKLIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741905",
            "telephone_number": "262-261-5252",
            "fax_number": "262-649-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE-Q OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "262-261-5252",
        "authorized_official_credential": "MSHA, ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2716-35",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": "184443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407233430",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.