OPHTHALMOLOGY ASSOCIATES S C (NPI# 1255476099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255476099 |
| Entity Type | Organization |
| Organization Name | OPHTHALMOLOGY ASSOCIATES S C |
| Practice Address |
2500 W Layton Ave Suite 110 Milwaukee WI 53221-5420 |
| Mailing Address |
6020 S Packard Ave Cudahy WI 53110-3028 |
| Practice Telephone | 4142810424 |
| Mailing Telephone | 4142944660 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | DR. GLENN E GRAVES (OWNER PARTNER) |
| Authorized Official Telephone | 4142944660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CO1849 | 01 | |
| WI | 32758700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543614 | Ophthalmology Associates S C | Optometrist | 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 | 2019-02-05 |
| 1689719437 | Ophthalmology Associates S C | Optometrist | 6080 S 108th St, Hales Corners, WI 53130-2557 | 2007-02-20 |
| 1063557890 | Ophthalmology Associates S C | Eyewear Supplier (Equipment, not the service) | 6020 S Packard Ave, Cudahy, WI 53110-3028 | 2007-02-20 |
| 1730224585 | Ophthalmology Associates S C | Optometrist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2007-02-20 |
| Street Address |
2500 W LAYTON AVE SUITE 110 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405751 | Constance M. Ganapes | Internal Medicine | 2500 W Layton Ave, Suite 250, Milwaukee, WI 53221-5420 | 2005-08-26 |
| 1669911277 | Garland W. Yarborough M.d S,c | Clinic/Center | 2500 W Layton Ave, Suite250, Milwaukee, WI 53221-5420 | 2017-02-15 |
| 1376087247 | Eric Everson | Occupational Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-12-13 |
| 1508312570 | Azh Vascular Center Mke LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 | 2016-08-30 |
| 1497105837 | Jill Bergersen | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-06-16 |
| 1780032219 | Azh Wound Center Mke LLC | Emergency Medicine | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-05-25 |
| 1528412798 | Kurt P Hackbarth | Physical Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2016-04-14 |
| 1700249992 | Jennifer Zomchek | Nurse Practitioner | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-04-04 |
| 1588046890 | Rebecca Rudella | Occupational Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2015-06-23 |
| 1154702975 | Stephanie M Mcdonald | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| 1902054406 | Scott Dennis Barnes | Ophthalmology | 1723 E Grange Ave, Milwaukee, WI 53207-6135 | 2008-09-09 |
| 1881619187 | Michael Victor Darnieder | Ophthalmology | 8535 W Capitol Dr, Milwaukee, WI 53222-1826 | 2006-07-13 |
| 1821053109 | Wanda M Martinez Navarro | Ophthalmology | 925 North 87th Street, The Eye Institute, Milwaukee, WI 53226 | 2006-04-19 |
| 1144298027 | Norman E Cohen | Ophthalmology | 735 W Wisconsin Ave, Milwaukee, WI 53233-2413 | 2006-03-08 |
| 1114991890 | Gregory J Griepentrog | Ophthalmology | 925 N 87th St, Medical College Clinics At The Eye Institute, Milwaukee, WI 53226-4812 | 2006-02-17 |
| 1609869858 | Milwaukee Eye Care Associates S.c. | Ophthalmology | 1684 N Prospect Ave, Milwaukee, WI 53202-2408 | 2005-08-23 |
| 1093710741 | Frederick H Reeser | Ophthalmology | 2600 N Mayfair Rd, Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1811992563 | Jonathan M Hershey | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| Find all providers in MILWAUKEE | ||||
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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.