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EYE PHYSICIAN ASSOCIATES S.C. NPI 1174217178


NPI Information

NPI: 1174217178
Provider Name: EYE PHYSICIAN ASSOCIATES, S.C.

Doing Business As: LOOMIS OPTICAL

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
4300 WEST LAYTON AVENUE
STE 100
GREENFIELD, WI
ZIP 53220
Phone: (414) 928-2020
Get Directions

EYE PHYSICIAN ASSOCIATES, S.C. is an ophthalmology in Greenfield, WI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE PHYSICIAN ASSOCIATES, S.C. NPI is 1174217178. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Loomis Optical.

The provider's business location address is:

4300 WEST LAYTON AVENUE
STE 100
GREENFIELD, WI
ZIP 53220-132
Phone: (414) 928-2020
Fax: (414) 210-3402

The provider's authorized official is Charles B Yang .
The authorized official title is Medical Director and has the following contact phone number (414) 928-2020.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 3/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132306500MEDICAIDWISCONSIN
232735700MEDICAIDWISCONSIN
30264580001OTHERWISCONSINDME
434249800MEDICAIDWISCONSIN
534678800MEDICAIDWISCONSIN
638616200MEDICAIDWISCONSIN
738622400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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