Active NPI
Jack L Hughes MD SC
- Ophthalmology Physician
- Milwaukee, WI
National Provider Identifier
1487733796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18882020
- Legal business name
- JACK L HUGHES MD SC
- Practice address
- 2500 North Mayfair Rd
Ste 200
Milwaukee, WI 53226-1415 - Phone
- (414) 259-1930
- Fax
- (414) 259-0160
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Lindley Hughes, MD
- Title
- President
- Phone
- (414) 259-1930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18882020 | WI | Primary |
Addresses
Primary practice location
2500 North Mayfair Rd
Ste 200
Milwaukee, WI 53226-1415
Mailing address
2500 North Mayfair Rd
Ste 200
Milwaukee, WI 53226-1415
Phone (414) 259-1930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30938900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2500 N Mayfair Rd
Ste 200
Milwaukee, WI 53226
Phone (414) 259-1930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487733796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH MAYFAIR RD",
"address_2": "STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-259-1930",
"fax_number": "414-259-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH MAYFAIR RD",
"address_2": "STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-259-1930",
"fax_number": "414-259-0160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACK L HUGHES MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "LINDLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-259-1930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WI",
"license": "18882020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30938900",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.