NPIMap

Organization Active NPI

Eye Care Surgical Consulting SC

  • Ophthalmology Physician
  • Racine, WI
National Provider Identifier
1740443704
Registry record updated Feb 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26907-020 Issued in WI
Legal business name
EYE CARE SURGICAL CONSULTING SC
Practice address
4060 N Main St
Racine, WI 53402-3121
Phone
(262) 752-2020
NPI assigned
Jul 9, 2008
Last updated
Feb 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2009

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

Authorized official

Name
Jody R Laporte
Title
Manager
Phone
(262) 752-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26907-020 WI Primary

Addresses

Primary practice location

4060 N Main St
Racine, WI 53402-3121

Mailing address

4060 N Main St
Racine, WI 53402-3121
Phone (262) 752-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234656000000",
    "number": "1740443704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-752-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-752-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SURGICAL CONSULTING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-02-15",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-752-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "26907-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.