PEWAUKEE VISION SC NPI 1780053595

NPI Information

  • NPI: 1780053595
  • Provider Name: PEWAUKEE VISION SC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 1111 DELAFIELD ST STE 212
    WAUKESHA, WI
    ZIP 53188
  • Phone: (262) 521-9383

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NPI Details

PEWAUKEE VISION SC is an optometrist in Waukesha, WI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PEWAUKEE VISION SC NPI is 1780053595. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1111 DELAFIELD ST STE 212
WAUKESHA, WI
ZIP 53188-403
Phone: (262) 521-9383
Fax: (262) 547-1815

The provider's authorized official is Elyse Bruns .
The authorized official title is Co-owner and has the following contact phone number (715) 892-2691.

The enumeration date for this NPI number is 9/22/2015 and was last updated on 4/25/2024.

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
1152W00000XOptometristYes
2207W00000XOphthalmologyNo

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: 11/21/2025

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