NPIMap

Organization Active NPI

Herslof'S, Inc

  • Optician
  • Milwaukee, WI
National Provider Identifier
1720057482
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
HERSLOF'S, INC
Practice address
12000 W Carmen Ave
Milwaukee, WI 53225
Phone
(414) 462-1300
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Ms. Vicki Dickman
Title
President
Phone
(414) 462-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

12000 W Carmen Ave
Milwaukee, WI 53225

Mailing address

12000 W Carmen Ave
Milwaukee, WI 53225-2116
Phone (414) 462-1300

Other identifiers 1

IdentifierTypeStateIssuer
38432000MedicaidWI

Other names 1

  • HERSLOF FAMILY EYE CENTERS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000238 WI Part B Supplier - Clinic/Group Practice 4789578782 Receives reassigned benefits from 11 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milwaukee, WI; West Bend, WI; New Berlin, WI; Oconomowoc, WI; Pewaukee, WI; Racine, WI; Saukville, WI; Sheboygan, WI…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Herslof Opticians25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

W176N9328 River Crest Dr
Menomonee Falls, WI 53051
Phone (262) 251-8315

1300 Capitol Dr
Pewaukee, WI 53072
Phone (262) 691-2929

Practitioners & affiliated clinicians

Practitioners 7

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": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1720057482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 W CARMEN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532252116",
            "telephone_number": "414-462-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 W CARMEN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53225",
            "telephone_number": "414-462-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSLOF'S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-462-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38432000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERSLOF FAMILY EYE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HERSLOF FAMILY EYE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.