Summit Eye Care of Wisconsin SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUMMIT EYE CARE OF WISCONSIN SC

Practice address

10425 W North Ave Ste 245
Wauwatosa, WI 53226-2416

Phone

(414) 877-6414

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Vukich, M.D.NPI 1124065537

Title

Owner

Phone

(414) 877-6414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• John A Vukich, MD

  • Ophthalmology Physician
  • Wauwatosa, WI
  • NPI 1124065537
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas J Bruns, OD

  • Optometrist
  • Wauwatosa, WI
  • NPI 1902288558
  Medicare reassignment Care Compare group NPD
• Mark A. Mlsna, O.D.

  • Optometrist
  • Menomonee Falls, WI
  • NPI 1386743425
  Medicare reassignment Care Compare group NPD
• Dana A. Webb, O.D.

  • Optometrist
  • Menomonee Falls, WI
  • NPI 1487662177
  Medicare reassignment Care Compare group NPD
• Jason M Schad, O.D.

  • Optometrist
  • Hartford, WI
  • NPI 1194109876
  Medicare reassignment NPD
• Nathaniel Ray Moxon

  • Ophthalmology Physician
  • Wauwatosa, WI
  • NPI 1275050361
  NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1992350375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 140",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-877-6414",
            "fax_number": "414-386-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 245",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262416",
            "telephone_number": "414-877-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE CARE OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "VUKICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-877-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rianna Sturdivant
• Kevin M Stutt, PHARMD
• Sarah Suh, MD
• Perry Wayne Sukowatey, DDS
• Tanielle Summerill, PTA
• Summit Health & Medical LLC
• Summit Psychology Clinic SC
• Supportive Homecare Options, Inc
• Susan Powers MD
• Suson Eye Specialists, MD SC

• Ophthalmology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.