Oak Creek Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OAK CREEK FAMILY EYE CARE LLC

Practice address

8907 S Howell Ave Ste 600
Oak Creek, WI 53154-4461

Phone

(414) 764-2651

NPI assigned

Nov 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent Facchiano, OD

Title

Member/Optometrist

Phone

(414) 764-2651

Specialties & licenses 2

Addresses

Other names 1

• Pearle Vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1508230889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 S HOWELL AVE STE 600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544461",
            "telephone_number": "414-764-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 S HOWELL AVE STE 600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544461",
            "telephone_number": "414-764-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "FACCHIANO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MEMBER/OPTOMETRIST",
        "authorized_official_telephone_number": "414-764-2651",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nuestra Esperanza Health LLC
• Lisa A O'Brien, PA
• Shenkun O'Connor
• Erin Matthew O'Tool, MD
• Oak Creek Dental Care LLC
• Oak Creek Health and Rehabilitation Center LLC
• Oak Creek Medical & Occupational L.L.C.
• Oak Creek Medical & Pccupational, LLC
• Oak Creek Medical Supplies LLC
• Oak Creek Rehabilitation Hospital LLC

• Optometrist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.