Organization Active NPI

Eye Care Optical Inc.

  • Optician
  • West Bend, WI
National Provider Identifier
1578609095
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.