Organization Active NPI

Eye Xamz

  • Optometric Technician
  • Kenosha, WI
National Provider Identifier
1649443060
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric TechnicianTaxonomy code 156FX1202X
Legal business name
EYE XAMZ
Practice address
7532 Pershing Blvd
Kenosha, WI 53142-4316
Phone
(262) 705-8947
Fax
(262) 586-0062
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. Lee L Hagopian IV, COT,CRA
Title
President
Phone
(262) 705-8947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X Primary

Addresses

Primary practice location

7532 Pershing Blvd
Kenosha, WI 53142-4316

Mailing address

7419 256TH Ave
Salem, WI 53168-9158
Phone (262) 705-8947

National Provider Directory

National Provider Directory

Locations

7419 256th Ave
Salem, WI 53168

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1649443060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 256TH AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689158",
            "telephone_number": "262-705-8947",
            "fax_number": "262-586-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424316",
            "telephone_number": "262-705-8947",
            "fax_number": "262-586-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE XAMZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "HAGOPIAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-705-8947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "COT,CRA"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.