WISCONSIN RETINA, S.C. (NPI# 1700907045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700907045 |
| Entity Type | Organization |
| Organization Name | WISCONSIN RETINA, S.C. |
| Practice Address |
2600 N Mayfair Rd Ste 350 Milwaukee WI 53226-1372 |
| Practice Telephone | 4147770110 |
| Practice Fax Number | 4147770330 |
| Mailing Telephone | 4147770110 |
| Mailing Fax Number | 4147770330 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAY A MET (PRESIDENT) |
| Authorized Official Telephone | 4147770110 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
39513 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32394500 | 05 |
| Street Address |
2600 N MAYFAIR RD STE 350 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261489 | The Cataract Vision Institute LLC | Clinic/Center | 400 N Executive Dr, Suite 101, Brookfield, WI 53005-6068 | 2016-08-26 |
| 1043836182 | Independent Vision Group, Ltd | Clinic/Center | 1115 E Lowes Creek Rd, Eau Claire, WI 54701-7439 | 2020-06-24 |
| 1922247857 | Brookfield Sightlab, Ltd. | Clinic/Center | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2009-02-17 |
| 1487710638 | Chippewa Valley Eye Clinic Chippewa Falls Sc | Clinic/Center | 2525 County Highway I, Chippewa Falls, WI 54741 | 2006-12-29 |
| 1568494466 | St. Marys Dean Ventures Inc. | Clinic/Center | 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501 | 2006-07-07 |
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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.