Active NPI
Eye Care Optical Inc.
- Optician
- West Bend, WI
National Provider Identifier
1578609095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- EYE CARE OPTICAL INC.
- Practice address
- 1411 S Main St
West Bend, WI 53095-4931 - Phone
- (262) 334-2020
- Fax
- (262) 334-0094
- NPI assigned
- Jan 30, 2007
- Last updated
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stanley C Kaminski
- Title
- Owneroptician
- Phone
- (262) 334-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1411 S Main St
West Bend, WI 53095-4931
Mailing address
1411 S Main St
West Bend, WI 53095-4936
Phone (262) 334-2020
National Provider Directory
National Provider DirectoryLocations
1411 S Main St
West Bend, WI 53095
Phone (262) 334-2020
1602 S Main St
West Bend, WI 53095
Phone (262) 334-2020
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1578609095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 S MAIN ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530954936",
"telephone_number": "262-334-2020",
"fax_number": "262-334-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 S MAIN ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530954931",
"telephone_number": "262-334-2020",
"fax_number": "262-334-0094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "KAMINSKI",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNEROPTICIAN",
"authorized_official_telephone_number": "262-334-2020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.