Organization Active NPI

Jack L Hughes MD SC

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1487733796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18882020 Issued in WI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30938900MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.