Maria Portellos Patterson, M.D., S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

42757 Issued in WI

Legal business name

MARIA PORTELLOS PATTERSON, M.D., S.C.

Doing business as

Children's Eye Center

Practice address

17000 W North Ave Ste 102E
Brookfield, WI 53005-4423

Phone

(262) 641-8181

Fax

(262) 641-8188

NPI assigned

Mar 16, 2007

Last updated

Feb 7, 2018By 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

Maria P Patterson, MDNPI 1790785731

Title

Owner

Phone

(262) 641-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Children's Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Maria P Patterson, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Brookfield, WI
  • NPI 1790785731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1861516957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE STE 102E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-641-8181",
            "fax_number": "262-641-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE STE 102E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-641-8181",
            "fax_number": "262-641-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA PORTELLOS PATTERSON, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-641-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "42757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34034800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swarnambal Mani, M.D.
• Lorelle Michelle Manion, M.D.
• Emily Mankowski
• Lynn Ellen Manske, DDS
• Laura Manthey, DPT
• Alycia Dion Marin, LPC
• Arger Chris Markakis, DDS
• Mandi Lynne Maronn, MD
• Patricia J Marrari
• Robert W Marrs, LMFT

• Specialist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.