NPIMap

Organization Active NPI

Eye Physicians and Surgeons SC

  • Ophthalmology Physician
  • Burlington, WI
National Provider Identifier
1831747138
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS AND SURGEONS SC
Practice address
222 Adams St
Burlington, WI 53105-1466
Phone
(262) 763-7772
Fax
(262) 763-7315
NPI assigned
Aug 29, 2019
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE PHYSICIANS AND SURGEONS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Matthew A Dahlgren, MDNPI 1154371367
Title
President
Phone
(262) 723-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

222 Adams St
Burlington, WI 53105-1466

Mailing address

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians and Surgeons3 organizations share this tax ID, including this one
Part of
Eye Physicians and Surgeons

Other organizations with this tax ID 2

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

Locations

222 Adams St
Burlington, WI 53105
Phone (262) 723-4600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1831747138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S LINCOLN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214375",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ADAMS ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051466",
            "telephone_number": "262-763-7772",
            "fax_number": "262-763-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS AND SURGEONS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS AND SURGEONS SC",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "DAHLGREN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-723-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.