Organization Active NPI

Cornea Consultant, S.C.

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1992869283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41620-020 Issued in WI
Legal business name
CORNEA CONSULTANT, S.C.
Practice address
2500 N Mayfair Rd
Suite 340
Milwaukee, WI 53226-1409
Phone
(866) 926-7632
Fax
(866) 926-7632
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edwin Lee Stock, M.D.
Title
Physician
Phone
(866) 966-7632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 41620-020 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite 340
Milwaukee, WI 53226-1409

Mailing address

2500 N Mayfair Rd
Suite 340
Milwaukee, WI 53226-1409
Phone (866) 926-7632

National Provider Directory

National Provider Directory

Locations

2500 N Mayfair Rd
Ste 340
Wauwatosa, WI 53226
Phone (866) 926-7632

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992869283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "866-926-7632",
            "fax_number": "866-926-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "866-926-7632",
            "fax_number": "866-926-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEA CONSULTANT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "866-966-7632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "41620-020",
            "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 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.

Verify at the official NPI Registry.