Organization Active NPI

University of Wisconsin Medical Foundation Inc

Doing business as UW Health Optical

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1821059817
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Doing business as
UW Health Optical
Practice address
780 Regent St
Suite 306
Madison, WI 53715-2635
Phone
(608) 257-4286
Fax
(608) 257-1608
NPI assigned
Mar 29, 2006
Last updated
Jun 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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

Authorized official

Name
Robert Flannery
Title
Cao & Cfo Uw Health-Uw Medical Foun
Phone
(608) 821-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

780 Regent St
Suite 306
Madison, WI 53715-2635

Mailing address

7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5270

Other identifiers 1

IdentifierTypeStateIssuer
38457900MedicaidWI

Other names 1

  • UW Health Optical Doing business as

National Provider Directory

National Provider Directory

Locations

780 Regent St
Ste 306
Madison, WI 53715
Phone (608) 257-4286

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466208000000",
    "number": "1821059817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5270",
            "fax_number": "608-833-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 REGENT ST",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152635",
            "telephone_number": "608-257-4286",
            "fax_number": "608-257-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-06-18",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CAO & CFO UW HEALTH-UW MEDICAL FOUN",
        "authorized_official_telephone_number": "608-821-4223"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38457900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; 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.