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EYE PROSTHETICS OF WISCONSIN NPI 1609839497


NPI Information

NPI: 1609839497
Provider Name: EYE PROSTHETICS OF WISCONSIN
Classification: Technician/Technologist - 156FX1700X
Entity Type: Organization

Specialization: Ocularist

Address:
13255 W BLUEMOUND RD
101
BROOKFIELD, WI
ZIP 53005
Phone: (262) 754-3681
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EYE PROSTHETICS OF WISCONSIN is an ocularist technician technologist in Brookfield, WI. EYE PROSTHETICS OF WISCONSIN NPI is 1609839497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13255 W BLUEMOUND RD
101
BROOKFIELD, WI
ZIP 53005-245
Phone: (262) 754-3681
Fax: (262) 754-3682

The provider's authorized official is Susan Tynes .
The authorized official title is Ocularist and has the following contact phone number (262) 754-3681.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1700XTechnician/TechnologistOcularistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141731500MEDICAIDWISCONSIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.