Pleasant Prairie Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PLEASANT PRAIRIE EYECARE, INC

Doing business as

Pleasant Optometry

Practice address

7707 94TH Ave
Pleasant Prairie, WI 53158-1955

Phone

(262) 597-1042

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Min, ODNPI 1205240397

Title

Optometrist

Phone

(262) 597-1042

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Optometry Doing business as

Practitioners 1

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

• Jessica Min, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1205240397
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1922874411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 INDIAN CREEK DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896596",
            "telephone_number": "224-436-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 94TH AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581955",
            "telephone_number": "262-597-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PRAIRIE EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "262-597-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Pettit, PTA
• Ajish Isac Philip, PHARM.D.
• Amy H Piko, O.D.
• Dwayne Pinon
• Jill Plaisted
• Polykarpos Anesthesia LLC
• Kevin Roy Poole, PA-C
• George T Poullette, MD
• Michael Alan Price, MD
• Reeba Annie Prince, M.D.

• Optometrist in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.