Organization Active NPI

Nehs Family Vision Center, Inc.

  • Optometrist
  • Waukesha, WI
National Provider Identifier
1609944859
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1260-065 Issued in WI
Legal business name
NEHS FAMILY VISION CENTER, INC.
Practice address
100 Arcadian Ave
Waukesha, WI 53186-5002
Phone
(262) 542-3676
Fax
(262) 542-3826
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Douglas Kinsey Nehs, O.D.
Title
President
Phone
(262) 542-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1260-065 WI Primary

Addresses

Primary practice location

100 Arcadian Ave
Waukesha, WI 53186-5002

Mailing address

100 Arcadian Ave
Waukesha, WI 53186-5002
Phone (262) 542-3676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000349 WI Part B Supplier - Clinic/Group Practice 3779636683 Receives reassigned benefits from 4 practitioners
Practice locations: Waukesha, WI

National Provider Directory

National Provider Directory

Locations

100 Arcadian Ave
Waukesha, WI 53186
Phone (262) 542-3676

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1609944859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARCADIAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865002",
            "telephone_number": "262-542-3676",
            "fax_number": "262-542-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCADIAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865002",
            "telephone_number": "262-542-3676",
            "fax_number": "262-542-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHS FAMILY VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "NEHS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "KINSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-542-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1260-065",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 23, 2009; 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.