Eye Clinic SC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

18321 Issued in WI

Legal business name

EYE CLINIC SC

Practice address

7363 State Road 50
Lake Geneva, WI 53147-4516

Phone

(262) 248-8577

Fax

(262) 248-8757

NPI assigned

Jan 21, 2008

Last updated

Jan 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Willim Veith, M.D.

Title

President

Phone

(262) 248-8577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1851577829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 STATE ROAD 50",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474516",
            "telephone_number": "262-248-8577",
            "fax_number": "262-248-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 STATE ROAD 50",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474516",
            "telephone_number": "262-248-8577",
            "fax_number": "262-248-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "VEITH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "WILLIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-248-8577",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "18321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie J Ellingson, PAC
• Frank J Elmudesi, PSYD
• Jonathan Erickson, M.D.
• Tamara Louise Evans, RN
• Excel Family Chiropractic and Wellness Inc
• Rebecca R Falkiner, MS, LAT, ATC
• Family Eye Care of Lake Geneva, S.C.
• Aneeba Farooqi
• Amanda Ann Farrell, APRN
• Robert A Fasano, MD

• Preferred Provider Organization in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Preferred Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.