Organization Active NPI

The Eyeglassery, Co

  • Optometrist
  • Delafield, WI
National Provider Identifier
1669838314
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2820-035 Issued in WI
Legal business name
THE EYEGLASSERY, CO
Practice address
414 Genesee St
Delafield, WI 53018-1800
Phone
(262) 423-4747
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Saly Tran, ODNPI 1194782045
Title
Optometrist
Phone
(262) 423-4747

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2820-035 WI Primary

Addresses

Primary practice location

414 Genesee St
Delafield, WI 53018-1800

Mailing address

414 Genesee St
Delafield, WI 53018-1800
Phone (262) 423-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429002925 WI Part B Supplier - Clinic/Group Practice 4880110139 Receives reassigned benefits from 2 practitioners
Practice locations: Delafield, WI

National Provider Directory

National Provider Directory

Locations

414 Genesee St
Delafield, WI 53018
Phone (262) 423-4747

Practitioners & affiliated clinicians

Practitioners 2

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1669838314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 GENESEE ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181800",
            "telephone_number": "262-423-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GENESEE ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181800",
            "telephone_number": "262-423-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASSERY, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SALY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "262-423-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2820-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.