Organization Active NPI

Allied Family Eye Care

  • Exclusive Provider Organization
  • Waukesha, WI
National Provider Identifier
1497034078
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2653 Issued in WI
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

Updated by the provider on Aug 12, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.