BROOKFIELD SIGHTLAB, LTD (NPI# 1063740637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063740637 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD SIGHTLAB, LTD |
| Practice Address |
20350 Water Tower Blvd 200 Brookfield WI 53045-3558 |
| Practice Telephone | 2627540860 |
| Practice Fax Number | 2627890676 |
| Mailing Telephone | 2627540860 |
| Mailing Fax Number | 2627890676 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | DR. LANNY B. HALE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2627540860 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
20350 WATER TOWER BLVD 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487472 | John E Moser | Dentist | 20350 Water Tower Blvd, #202, Brookfield, WI 53045-3558 | 2005-09-20 |
| 1528578580 | Sfm Dentistry LLC | Clinic/Center | 20350 Water Tower Blvd, Brookfield, WI 53045-3558 | 2017-10-04 |
| 1952719817 | Patrick William Nelson | Optometrist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2014-07-23 |
| 1922247857 | Brookfield Sightlab, Ltd. | Clinic/Center | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2009-02-17 |
| 1780839910 | Hale Ireland, Sc | Ophthalmology | 20350 Water Tower Blvd, 200, Brookfield, WI 53045-3558 | 2008-12-02 |
| 1871658518 | Hale Center for Refractive Surgery, LLC | Specialist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2006-12-22 |
| 1699784421 | Lynne A Brock | Dentist | 20350 Water Tower Blvd, Suite 203, Brookfield, WI 53045-3558 | 2006-08-08 |
| 1740262179 | Lanny B. Hale | Specialist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629356423 | Great Midwest Medical, Inc. | Clinic/Center | 17495 W Capitol Dr, Unit K, Brookfield, WI 53045-2059 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.