NPIMap

Organization Active NPI

Innovative Optique

  • Eyewear Supplier
  • Milwaukee, WI
National Provider Identifier
1942477476
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
INNOVATIVE OPTIQUE
Practice address
333 W Brown Deer Rd
Milwaukee, WI 53217-2372
Phone
(414) 228-9873
Fax
(414) 228-9841
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Guadalupe AguilarNPI 1780953174
Title
Owner
Phone
(414) 228-9873

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

333 W Brown Deer Rd
Milwaukee, WI 53217-2372

Mailing address

333 W Brown Deer Rd
Milwaukee, WI 53217-2372
Phone (414) 228-9873

National Provider Directory

National Provider Directory

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1942477476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "414-228-9873",
            "fax_number": "414-228-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "414-228-9873",
            "fax_number": "414-228-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-228-9873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.