Eye Surgery Associates, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17590 Issued in WI

Legal business name

EYE SURGERY ASSOCIATES, S.C.

Practice address

2300 N Mayfair Rd
Milwaukee, WI 53226-1505

Phone

(414) 639-0188

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

Gregory Kwasny, M.D.

Title

President

Phone

(414) 259-1022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1811005291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5166",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531225166",
            "telephone_number": "414-639-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-639-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "KWASNY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-259-1022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "17590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30939400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyovel Eyassu, DO
• Eye Care of Wisconsin, Inc
• Eye Care Vision Centers
• Eye Physician Associates, S.C.
• Eye Surgery & Laser Center of Wisconsin LLC
• Eye-Care Home Health Care
• Eye-Care Home Health Care,LLC
• Eyes on the Lake
• Ez Ride Transport
• Chimezirim Ezeano, MD

• Ophthalmology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ophthalmology Physician in Wisconsin

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