OPHTHALMOLOGY ASSOCIATES S C


Address: 6020 S Packard Ave, Cudahy, WI 53110-3028
Phone: 4142944660

OPHTHALMOLOGY ASSOCIATES S C (NPI# 1063557890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063557890
Entity Type Organization
Organization Name OPHTHALMOLOGY ASSOCIATES S C
Practice Address 6020 S Packard Ave
Cudahy
WI 53110-3028
Practice Telephone 4142944660
Mailing Telephone 4142944660
Enumeration Date 2007-02-20
Last Update Date 2007-10-25
Authorized Official Name DR. GLENN E GRAVES (PARTNER OWNER)
Authorized Official Telephone 4142944660
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers
N 152W00000X Optometrist Eye and Vision Services Providers
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32758700 05
RAILROAD MEDICARE CO1849 01

Other Provider IDs and Locations

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
1255476099 Ophthalmology Associates S C Optometrist 2500 W Layton Ave, Suite 110, Milwaukee, WI 53221-5420 2007-02-20
1730224585 Ophthalmology Associates S C Optometrist 14555 W National Ave, New Berlin, WI 53151-4494 2007-02-20

Office Location

Street Address 6020 S PACKARD AVE
City CUDAHY
State WI
Zip Code 53110-3028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912994807 Edward W. Waldeck Ophthalmology 6020 S Packard Ave, Cudahy, WI 53110-3028 2005-10-05
1891236089 Qian Yang Optometrist 6020 S Packard Ave, Cudahy, WI 53110-3028 2017-03-20
1154638591 Jaclyn E. Garlich Optometrist 6020 S Packard Ave, Lower, Cudahy, WI 53110-3028 2010-09-07
1790998581 Ophthalmology Associates Durable Medical Equipment & Medical Supplies 6020 S Packard Ave, Cudahy, WI 53110-3028 2007-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164059150 Access Mobility Vans, Inc. Durable Medical Equipment & Medical Supplies 1995 E. Norse Ave., Cudahy, WI 53110 2020-03-27
1497191357 Kristel Roebbeke Occupational Therapist 4157 W College Ave, Milwaukee, WI 53110 2013-05-20
1568684058 City of Cudahy Case Management 5050 South Lake Drive, Cudahy, WI 53110 2007-05-03
1104854363 Mathew George Mathai Internal Medicine 5900 S. Lake Dr., Cudahy, WI 53110 2006-06-28
1174917199 Alyssa Kaleta Internal Medicine 5900 S Lake Dr, Cudahy, WI 53110 2015-03-27
1740546829 Fatima Ali Family Medicine 5900 S Lake Dr, Cudahy, WI 53110 2012-04-03
1609003508 Elizabeth A Vissat Podiatrist 5900 S Lake Dr, 2 West, Cudahy, WI 53110 2009-06-18
1366616864 Miguel A Aguilera Anesthesiology 5900 S Lake Dr, Cudahy, WI 53110 2008-04-15
1235355983 Aurora Health Care Metro, Inc. Clinic/Center 5900 S Lake Drive, Cudahy, WI 53110 2007-04-18
1114005618 Manila Sodhi Internal Medicine 5900 S Lake Dr, 2 West, Cudahy, WI 53110 2006-11-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912994807 Edward W. Waldeck Ophthalmology 6020 S Packard Ave, Cudahy, WI 53110-3028 2005-10-05
1851497911 Casimiro Gonzalez Ophthalmology 4566 Florence Ave, #3, Cudahy, CA 90201-4345 2006-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669093308 Eye Physicians and Surgeons Sc Ophthalmology 675 W State Street, Burlington, WI 53105-2152 2020-05-05
1992350375 Summit Eye Care of Wisconsin Sc Ophthalmology 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 2019-08-02
1912566597 William Alden Blank Ophthalmology W5843 Vista Dr, La Crosse, WI 54601-7120 2019-06-07
1962974485 Southwest Health Center, Inc. Ophthalmology 1509 Ihm St, Lancaster, WI 53813-9458 2018-12-21
1477083194 Maxwell Joseph Wingelaar Ophthalmology Uw Health University Hospital, Madison, WI 53792 2017-06-14
1770967572 Baycare Clinic LLP Ophthalmology 1603 Washington Street, Two Rivers, WI 54241 2015-07-13
1114315587 Eye Clinic of Wisconsin, Sc Ophthalmology 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 2015-01-07
1164824231 Arthur Francis Garcia Ophthalmology 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 2014-09-20
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1003233255 Kenneth Weinlander Ophthalmology 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 2014-03-26
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Competitor

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City CUDAHY
Zip Code 53110

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Dataset Information

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.

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