Active NPI
Gonnering Eye Consultants, S.C.
- Ophthalmology Physician
- Milwaukee, WI
National Provider Identifier
1982754685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20265020
- Legal business name
- GONNERING EYE CONSULTANTS, S.C.
- Practice address
- 2900 W Oklahoma Ave
Milwaukee, WI 53215-4330 - Phone
- (414) 778-3224
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell S Gonnering, M.D.
- Title
- Owner
- Phone
- (414) 778-3224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20265020 | WI | Primary |
Addresses
Primary practice location
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Mailing address
11716 W Greenfield Ave
West Allis, WI 53214-2156
Phone (414) 778-3224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30320200 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1861466757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982754685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11716 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142156",
"telephone_number": "414-778-3224",
"fax_number": "414-778-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-778-3224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GONNERING EYE CONSULTANTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GONNERING",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-778-3224",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WI",
"license": "20265020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30320200",
"state": "WI"
}
],
"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 Aug 22, 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.