Organization Active NPI

John E Warren OD SC

  • Optometrist
  • Mt Pleasant, WI
National Provider Identifier
1821113697
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2527 Issued in WI
Legal business name
JOHN E WARREN OD SC
Practice address
1139 S Sunnyslope Dr Ste 203
Mt Pleasant, WI 53406-3998
Phone
(272) 752-2020
Fax
(262) 292-5019
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. John E Warren, ODNPI 1609868124
Title
Owner
Phone
(262) 752-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2527 WI Primary

Addresses

Primary practice location

1139 S Sunnyslope Dr Ste 203
Mt Pleasant, WI 53406-3998

Mailing address

1139 S Sunnyslope Dr Ste 203
Mt Pleasant, WI 53406-3998
Phone (272) 752-2020

Other names 1

  • WARREN EYE CARE CENTER INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000112 WI Part B Supplier - Clinic/Group Practice 4183796980 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Pleasant, WI; Racine, WI

National Provider Directory

National Provider Directory
Tax ID family
John E Warren OD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4060 N Main St
Racine, WI 53402
Phone (262) 639-2210

1 Main St
Ste 350
Racine, WI 53403
Phone (262) 752-2020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1821113697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 S SUNNYSLOPE DR STE 203",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "272-752-2020",
            "fax_number": "262-292-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 S SUNNYSLOPE DR STE 203",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063998",
            "telephone_number": "272-752-2020",
            "fax_number": "262-292-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E WARREN OD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-752-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN EYE CARE CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.