Active NPI
Ophthalmology Associates
- Durable Medical Equipment & Medical Supplies
- Cudahy, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OPHTHALMOLOGY ASSOCIATES
- Practice address
- 6020 S Packard Ave
Cudahy, WI 53110-3028 - Phone
- (414) 543-6887
- NPI assigned
- May 8, 2007
- Last updated
- Mar 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn E Graves, MD
- Title
- Partner
- Phone
- (414) 543-6887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
6020 S Packard Ave
Cudahy, WI 53110-3028
Mailing address
6020 S Packard Ave
Cudahy, WI 53110-3028
Phone (414) 294-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0565030001 | Other | WI | DMERC (MC DURABLE MEDICAL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ophthalmology Associates, SC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ophthalmology Associates
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Cudahy, WI
- NPI 1063557890
-
- Ophthalmology Physician
- New Berlin, WI
- NPI 1336024025
-
- Ophthalmology Physician
- Greenfield, WI
- NPI 1720543614
-
- Ophthalmology Physician
- New Berlin, WI
- NPI 1730224585
Locations
6020 S Packard Ave
Cudahy, WI 53110
Phone (414) 294-4660
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Glaucoma Specialist (Ophthalmology) Physician
- Greenfield, WI
- NPI 1780671677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1790998581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 S PACKARD AVE",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531103028",
"telephone_number": "414-294-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 S PACKARD AVE",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531103028",
"telephone_number": "414-543-6887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "414-543-6887",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC (MC DURABLE MEDICAL",
"identifier": "0565030001",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.