Magiera Eyecare LLC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1618 Issued in WI

Legal business name

MAGIERA EYECARE LLC.

Practice address

1 Bank Ave
Kaukauna, WI 54130-2581

Phone

(920) 766-2481

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Kay Metnik

Title

Office Manager

Phone

(920) 766-2481

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Andrew John Magiera, OD

  • Optometrist
  • Kimberly, WI
  • NPI 1659331551
  Medicare reassignment Care Compare group
• Jenna Lelsey Sullivan, OD

  • Optometrist
  • Kaukauna, WI
  • NPI 1366936932
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1831636828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302581",
            "telephone_number": "920-766-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIERA EYECARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "METNIK",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-766-2481"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38507900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Loken, O.T.R
• Joyce Mary Luckow, R.N.
• Melissa Luedtke
• Krista Lukes, RN
• Magiera Eyecare LLC
• Massage Experience LLC
• Leslie Aaron Matz, COTA
• Jasmine Rose Mazzei, LCSW
• Autumn R Miller, PA-C
• Brian A Miller, COTA

• Optometrist in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.