NPIMap

Organization Active NPI

Milwaukee Eye Care Associates S.C.

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1609869858
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MILWAUKEE EYE CARE ASSOCIATES S.C.
Practice address
1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone
(414) 271-2020
NPI assigned
Aug 23, 2005
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Jason Nathaniel Edmonds, MDNPI 1689839086
Title
Owner
Phone
(414) 271-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X WI Primary

Addresses

Primary practice location

1684 N Prospect Ave
Milwaukee, WI 53202-2408

Mailing address

1684 N Prospect Ave
Milwaukee, WI 53202-2498
Phone (414) 271-2020

Other practice location 1

17280 W North Ave Ste 100
Brookfield, WI 53045-4366
Phone (414) 271-2020

Other practice location 2

7095 S Ballpark Dr Apt 210
Franklin, WI 53132-6916
Phone (414) 271-2020

Other practice location 3

8909 N Port Washington Rd Unit 102
Bayside, WI 53217-1616
Phone (414) 271-2020

Other identifiers 2

IdentifierTypeStateIssuer
0000002560OtherWIDMERC PIN
38711800MedicaidWI

Other names 1

  • Foote Laser Vision Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040724000142 WI Part B Supplier - Clinic/Group Practice 8325028731 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Bayside, WI; Brookfield, WI; Franklin, WI; Milwaukee, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Milwaukee Eye Care Associates SC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17280 W North Ave
Ste 100
Brookfield, WI 53045
Phone (414) 271-2020

7095 S Ballpark Dr
Apt 210
Franklin, WI 53132
Phone (414) 271-2020

Practitioners & affiliated clinicians

Practitioners 12

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1609869858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022498",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022408",
            "telephone_number": "414-271-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17280 W North Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454366",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 S Ballpark Dr Apt 210",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531326916",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8909 N Port Washington Rd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "WI",
            "postal_code": "532171616",
            "country_code": "US",
            "telephone_number": "414-271-2020",
            "fax_number": "414-272-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILWAUKEE EYE CARE ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-271-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PIN",
            "identifier": "0000002560",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38711800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foote Laser Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 14, 2026; 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.