Active NPI
Allied Family Eye Care
- Exclusive Provider Organization
- Waukesha, WI
National Provider Identifier
1497034078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 2653
- Legal business name
- ALLIED FAMILY EYE CARE
- Practice address
- 1643 Arcadian Ave
Waukesha, WI 53186-5391 - Phone
- (414) 559-8915
- NPI assigned
- Aug 12, 2011
- 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
- Tracy Buege
- Title
- Manager
- Phone
- (414) 559-8915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 2653 | WI | Primary |
Addresses
Primary practice location
1643 Arcadian Ave
Waukesha, WI 53186-5391
Mailing address
PO Box 992
Waukesha, WI 53187-0992
National Provider Directory
National Provider DirectoryLocations
1643 Arcadian Ave
Waukesha, WI 53186
Phone (414) 559-8915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313107200000",
"number": "1497034078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 992",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531870992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 ARCADIAN AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531865391",
"telephone_number": "414-559-8915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED FAMILY EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A",
"authorized_official_last_name": "BUEGE",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "414-559-8915"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "WI",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.