NPIMap

Organization Active NPI

Bright Side Eye Care, S.C.

Doing business as Drs. James & Enayrt

  • Optometrist
  • Monona, WI
National Provider Identifier
1609937333
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1673 Issued in WI
Legal business name
BRIGHT SIDE EYE CARE, S.C.
Doing business as
Drs. James & Enayrt
Practice address
1532 W Broadway Ste 103
Monona, WI 53713-1827
Phone
(608) 223-0202
NPI assigned
Dec 13, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Max Edward Melberg, ODNPI 1487175766
Title
Vice President
Phone
(715) 214-5396

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1673 WI Primary

Addresses

Primary practice location

1532 W Broadway Ste 103
Monona, WI 53713-1827

Mailing address

1532 W Broadway Ste 103
Monona, WI 53713-1827
Phone (608) 223-0202

Other identifiers 2

IdentifierTypeStateIssuer
38508900MedicaidWI
38614500MedicaidWI

Other names 3

  • Drs. James & Enayrt Doing business as
  • James and Enyart, Optometrist Former legal business name
  • Bright Side Eye Care, S.C. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000124 WI Part B Supplier - Clinic/Group Practice 6002824216 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Milton, WI; Monona, WI; Oregon, WI

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

Locations

185 W Netherwood St
Oregon, WI 53575
Phone (608) 835-3579

Practitioners & affiliated clinicians

Practitioners 5

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1609937333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 103",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131827",
            "telephone_number": "608-223-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 103",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131827",
            "telephone_number": "608-223-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE EYE CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MELBERG",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-214-5396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38508900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38614500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. James & Enayrt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs. James & Enayrt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James and Enyart, Optometrist",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bright Side Eye Care, S.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.