NPIMap

Organization Active NPI

Waukesha Eye Associates, S.C.

  • Medical Specialty Clinic/Center
  • Waukesha, WI
National Provider Identifier
1609040146
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
19016 Issued in WI
Legal business name
WAUKESHA EYE ASSOCIATES, S.C.
Practice address
1111 Delafield St
Suite 314
Waukesha, WI 53188-3417
Phone
(262) 542-0860
Fax
(262) 542-5428
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. James H. Nagel, M.D.
Title
President
Phone
(262) 542-0860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 19016 WI Primary

Addresses

Primary practice location

1111 Delafield St
Suite 314
Waukesha, WI 53188-3417

Mailing address

1111 Delafield St
Suite 314
Waukesha, WI 53188-3417
Phone (262) 542-0860

Other identifiers 1

IdentifierTypeStateIssuer
CS1332OtherWIRR MEDICARE

National Provider Directory

National Provider Directory

Locations

1111 Delafield St
Ste 314
Waukesha, WI 53188
Phone (262) 542-0860

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1609040146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 314",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-542-0860",
            "fax_number": "262-542-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 314",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-542-0860",
            "fax_number": "262-542-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA EYE ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-542-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "19016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CS1332",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.