Simon Family Eye Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2861-035 Issued in WI

Legal business name

SIMON FAMILY EYE CARE, LLC

Practice address

14820 W Mayflower Dr
New Berlin, WI 53151-6716

Phone

(262) 227-0542

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Simon

Title

Owner

Phone

(262) 599-7045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1649644543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W GRANGE AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517909",
            "telephone_number": "262-599-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 W MAYFLOWER DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531516716",
            "telephone_number": "262-227-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-599-7045"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2861-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali H Siddiqui, MD
• Tahmeena Siddiqui I, PHARMD
• Elizabeth A. Silver, M.D.
• Scott Alan Simkowski, D.C.
• Stephanie Taylor Simms, NP
• Laura Noelle Simon, DPT
• Abigail J Simonson, OTR/L
• Sizewise Rentals LLC
• Sky Residential Services, Inc
• Jan M Smith, PT

• Clinic/Center in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.