NPIMap

Organization Active NPI

David Savaglio Eyecare, LLC

  • Optometrist
  • Kenosha, WI
National Provider Identifier
1710125661
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2831-035 Issued in WI
Legal business name
DAVID SAVAGLIO EYECARE, LLC
Practice address
7630 Pershing Blvd
Kenosha, WI 53142-4318
Phone
(262) 694-4989
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. David Savaglio, O.D.NPI 1366584088
Title
Owner/Optometrist
Phone
(262) 745-9633

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 2831-035 WI Primary

Addresses

Primary practice location

7630 Pershing Blvd
Kenosha, WI 53142-4318

Mailing address

4527 23Rd Ave
Kenosha, WI 53140-5928

National Provider Directory

National Provider Directory

Locations

7630 Pershing Blvd
Kenosha, WI 53142
Phone (262) 694-4989

Practitioners & affiliated clinicians

Practitioners 1

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1710125661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 23RD AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424318",
            "telephone_number": "262-694-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SAVAGLIO EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "SAVAGLIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "262-745-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2831-035",
            "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 Jan 30, 2009; 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.