Active NPI
Capitol Eyecare, SC
- Optometrist
- Milwaukee, WI
National Provider Identifier
1609298876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2739
- Legal business name
- CAPITOL EYECARE, SC
- Practice address
- 401 E Capitol Dr
Milwaukee, WI 53212-1211 - Phone
- (608) 449-3353
- NPI assigned
- Jan 7, 2014
- 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
- Dr. Peter Andreakos, OD
- Title
- President
- Phone
- (608) 449-3353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2739 | WI | Primary |
Addresses
Primary practice location
401 E Capitol Dr
Milwaukee, WI 53212-1211
Mailing address
1719 Monroe St
Suite 001
Madison, WI 53711-2074
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1609298876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 MONROE ST",
"address_2": "SUITE 001",
"city": "MADISON",
"state": "WI",
"postal_code": "537112074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121211",
"telephone_number": "608-449-3353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL EYECARE, SC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "ANDREAKOS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-449-3353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "2739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.