Modern Eyes LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2517 Issued in WI

Legal business name

MODERN EYES LTD.

Practice address

2330 S Oneida St Ste 106
Green Bay, WI 54304-5118

Phone

(920) 499-3937

Fax

(920) 499-7729

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Barb Waschbisch, OD

Title

President

Phone

(920) 499-3937

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Elizabeth Jolly, O.D

  • Optometrist
  • Green Bay, WI
  • NPI 1396031951
  Medicare reassignment Care Compare group NPD
• Craig Alan Keller, O.D.

  • Optometrist
  • Green Bay, WI
  • NPI 1780971499
  Medicare reassignment Care Compare group NPD
• Katie Lynn Kyles, OD

  • Optometrist
  • Green Bay, WI
  • NPI 1962278747
  Medicare reassignment Care Compare group NPD
• Patrick Jode Samels, OD

  • Optometrist
  • Green Bay, WI
  • NPI 1801954979
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1811132830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S ONEIDA ST STE 106",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045118",
            "telephone_number": "920-499-3937",
            "fax_number": "920-499-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S ONEIDA ST STE 106",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045118",
            "telephone_number": "920-499-3937",
            "fax_number": "920-499-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "WASCHBISCH",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-499-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2517",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "6198590001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Mlnarik
• Jenna R Mobile, CSAC
• Cami Mobley
• Heather Mocco, PT
• Melinda Modaff
• Modern Hearing Solutions LLC (Modern Hearing)
• Gina M Moede, RADCI
• Diane M Moga-Roach, MSE, LCSW, LPC, CEAP
• Yasir Yusuf Mohamed
• Ahmed Farouk Mohammed, MD

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.