Organization Active NPI

Isthmus Eye Care SC

  • Optometrist
  • Middleton, WI
National Provider Identifier
1578554390
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ISTHMUS EYE CARE SC
Practice address
7601 University Ave
Ste 102
Middleton, WI 53562-5414
Phone
(608) 831-3366
Fax
(608) 831-8470
NPI assigned
Nov 1, 2005
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Victor J Connors, OD
Title
President
Phone
(608) 831-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7601 University Ave
Ste 102
Middleton, WI 53562-5414

Mailing address

7601 University Ave
Ste 102
Middleton, WI 53562-5414
Phone (608) 831-3366

Other identifiers 1

IdentifierTypeStateIssuer
38723000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121001131 WI Part B Supplier - Clinic/Group Practice 9032011002 Receives reassigned benefits from 8 practitioners
Practice locations: Madison, WI; Middleton, WI

National Provider Directory

National Provider Directory

Locations

3225 E Washington Ave
Madison, WI 53704
Phone (608) 249-5548

6012 Gemini Dr
Madison, WI 53718
Phone (608) 249-5548

6602 University Ave
Middleton, WI 53562
Phone (608) 831-3366

7601 University Ave
Middleton, WI 53562
Phone (608) 831-3366

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1578554390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 UNIVERSITY AVE",
            "address_2": "STE 102",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625414",
            "telephone_number": "608-831-3366",
            "fax_number": "608-831-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 UNIVERSITY AVE",
            "address_2": "STE 102",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625414",
            "telephone_number": "608-831-3366",
            "fax_number": "608-831-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISTHMUS EYE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-831-3366",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38723000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.

Verify at the official NPI Registry.