Andrew Makela

Primary specialty

OptometristTaxonomy code 152W00000X

License

3000-035 Issued in WI

Practice address

15455 W Bluemound Rd
Suite 240
Brookfield, WI 53005-4007

Phone

(262) 796-3937

Fax

(262) 796-3930

NPI assigned

Apr 9, 2007

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ovitsky Vision Care of Wisconsin LTD

  • Optometrist
  • Milwaukee, WI
  • NPI 1699262170
  Medicare reassignment NPD
• Charles S Ovitsky PC

  • Optometrist
  • Chicago, IL
  • NPI 1568647220
  Medicare reassignment NPD
• Medical Eye Associates of Wisconsin,S.C.

  • Ophthalmology Physician
  • Brookfield, WI
  • NPI 1184902728
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1558484121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 JASMINE CIR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464946",
            "telephone_number": "847-265-1507",
            "fax_number": "262-796-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 W BLUEMOUND RD",
            "address_2": "SUITE 240",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054007",
            "telephone_number": "262-796-3937",
            "fax_number": "262-796-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKELA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3000-035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Bachausen Magnuson, MSW, LCSW
• Joseph Maier, MD
• Katheryn Maier, PTA
• Kristin L Mainville, MS, LPC
• Jacquelyn Marjorie Majerowski, M.D.
• Laurel L Makovsky, MS CCC SLP
• Deborah Ann Makowski, SPEECH PATHOLOGIST
• Jennifer Mallas, OTR
• Mohammad S Mallick, MD
• Keri Mallon

• Optometrist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.