SE Professionals, S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SE PROFESSIONALS, S.C.

Doing business as

Premier Vision

Practice address

10800 N Port Washington Rd
Mequon, WI 53092-5007

Phone

(262) 241-4848

Fax

(262) 241-9865

NPI assigned

Nov 9, 2006

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Aymond, MD

Title

Owner

Phone

(920) 467-7000

Specialties & licenses 1

Addresses

Other names 1

• Premier Vision Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven D Eggert, OD

  • Optometrist
  • Kiel, WI
  • NPI 1588686935
  NPD (past)
• Renee Haefs, O.D.

  • Optometrist
  • Mequon, WI
  • NPI 1609883990
  NPD (past)
• Melissa J Knous, OD

  • Optometrist
  • Fredonia, WI
  • NPI 1720012073
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1770653453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925007",
            "telephone_number": "262-241-4848",
            "fax_number": "262-241-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925007",
            "telephone_number": "262-241-4848",
            "fax_number": "262-241-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE PROFESSIONALS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "AYMOND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-467-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy E Schwabe, L.P.C.
• Schwartz RX Inc. (Vital Care of Mequon)
• Gregor Nathanael Pau Schwarz, PHD
• Jenna Schwarz
• Scion Dental
• Elizabeth Sehnert, PA-C
• Ruth Leona Seider, ATRBC, LPC
• Louis Steve Seno Jr., MD
• Jocelyn Marie Seppala, PA
• Carla Jean Shah, M.D.

• Optometrist in Mequon, WI
• Providers in Mequon, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.