Active NPI
Eye Physicians and Surgeons SC
- Ophthalmology Physician
- Elkhorn, WI
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment1
- Other NPIs with the same Medicare PAC ID1
- Subparts reporting this organization as parent3
- Practitioners6
- Medicare participation
- National Provider Directory
- Specialties & licenses1
- Addresses
- Electronic endpoints6
- NPI Registry JSON
- Other providers in Elkhorn, WI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE PHYSICIANS AND SURGEONS SC
- Practice address
- 1311 S Lincoln St
Elkhorn, WI 53121-4375 - Phone
- (262) 723-4600
- Fax
- (262) 947-4996
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Matthew Alan Dahlgren, MD
- Title
- President
- Phone
- (262) 723-4600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ophthalmology Physician
- Burlington, WI
- NPI 1669093308
-
- Ophthalmology Physician
- Burlington, WI
- NPI 1558919597
-
- Ophthalmology Physician
- Burlington, WI
- NPI 1831747138
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090604000628 | WI | Part B Supplier - Clinic/Group Practice | 6608926084 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Burlington, WI; Elkhorn, WI |
| O20100930053271 | WI | DME Supplier - Physician - Ophthalmology | 6608926084 | Practice locations: Elkhorn, WI |
National Provider Directory
National Provider Directory- Tax ID family
- Eye Physicians and Surgeons
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Burlington, WI
- NPI 1669093308
-
- Ophthalmology Physician
- Burlington, WI
- NPI 1831747138
Interoperability endpoints
- mbrower@eps.emadirect.md
- hahmadi@eps.emadirect.md
- nmathews@eps.emadirect.md
- nveith@eps.emadirect.md
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1311 S Lincoln St
Elkhorn, WI 53121-4375
Mailing address
1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600
Electronic endpoints 6
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbrower@eps.emadirect.md | Direct | |
| Direct Messaging Address | dsolverson@eps.emadirect.md | Direct | |
| Direct Messaging Address | mdahlgren@eps.emadirect.md | Direct | |
| Direct Messaging Address | nmathews@eps.emadirect.md | Direct | |
| Direct Messaging Address | hahmadi@eps.emadirect.md | Direct | |
| Direct Messaging Address | nveith@eps.emadirect.md | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2022.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1508949181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 S LINCOLN ST",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214375",
"telephone_number": "262-723-4600",
"fax_number": "262-723-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 S LINCOLN ST",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214375",
"telephone_number": "262-723-4600",
"fax_number": "262-947-4996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE PHYSICIANS AND SURGEONS SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "DAHLGREN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-723-4600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbrower@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsolverson@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdahlgren@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmathews@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hahmadi@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nveith@eps.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1311 S Lincoln St",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.