Active NPI
Lanny B. Hale, M.D.
- Specialist
- Brookfield, WI
National Provider Identifier
1740262179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20207
- Practice address
- 20350 Water Tower Blvd
Suite 200
Brookfield, WI 53045-3558 - Phone
- (262) 789-9029
- Fax
- (262) 789-9069
- NPI assigned
- Nov 21, 2005
- Last updated
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20207 | WI | Primary |
| Specialist | 174400000X | 23821 | AZ |
Addresses
Primary practice location
20350 Water Tower Blvd
Suite 200
Brookfield, WI 53045-3558
Mailing address
20350 Water Tower Blvd
Suite 200
Brookfield, WI 53045-3558
Phone (262) 789-9029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23821 | AZ | MD | Specialist |
| 20207 | WI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hale Ireland, SC | Past | Accepting new patients | |
| Hale Center for Refractive Surgery, LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Brookfield, WI
- NPI 1063740637
-
- Ophthalmologic Surgery Clinic/Center
- Brookfield, WI
- NPI 1922247857
-
- Specialist
- Brookfield, WI
- NPI 1871658518
-
dba Hale Ireland Laser & Implant Center
- Ophthalmology Physician
- Brookfield, WI
- NPI 1780839910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1740262179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20350 WATER TOWER BLVD",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530453558",
"telephone_number": "262-789-9029",
"fax_number": "262-789-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20350 WATER TOWER BLVD",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530453558",
"telephone_number": "262-789-9029",
"fax_number": "262-789-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "LANNY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "20207",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "23821",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.