Active NPI
Emy Lutchka Boente, OD
- Optometrist
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3813-35
- Practice address
- 4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136 - Phone
- (414) 928-2020
- Fax
- (414) 210-3402
- NPI assigned
- Sep 14, 2022
- Last updated
- Nov 6, 2024
- Sex
- Female
- 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 | 3813-35 | WI | Primary |
Addresses
Primary practice location
4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136
Mailing address
4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136
Phone (414) 928-2020
Other practice location 1
8375 S Howell Ave
Oak Creek, WI 53154-8344
Phone (414) 385-8725
Other practice location 2
1249 W Liebau Rd Ste 102
Mequon, WI 53092-3397
Phone (414) 385-8725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3397
Phone (414) 928-2020
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7373
4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020
8375 S Howell Ave
Suite 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 83.61
- Improvement activities
- 40
- Cost
- 70.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physician Associates, S.C. | Optometrist | Current | Accepting new patients |
| Eye Physician Associates, S.C. | Optometrist | Current | Accepting new patients |
Locations
1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828
2801 W Kinnickinnic River Pkwy
Ste 140
Milwaukee, WI 53215
Phone (414) 385-8725
4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789
8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Interoperability endpoints
- elutchka@epasc1966.srs-direct.com
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": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1487376695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W LAYTON AVE STE 100",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204136",
"telephone_number": "414-928-2020",
"fax_number": "414-210-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W LAYTON AVE STE 100",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204136",
"telephone_number": "414-928-2020",
"fax_number": "414-210-3402"
}
],
"practiceLocations": [
{
"address_1": "8375 S Howell Ave",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531548344",
"country_code": "US",
"telephone_number": "414-385-8725",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 W Liebau Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530923397",
"country_code": "US",
"telephone_number": "414-385-8725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTCHKA BOENTE",
"first_name": "EMY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3813-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.