EYE PHYSICIAN ASSOCIATES, S.C. (NPI# 1588963508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588963508 |
| Entity Type | Organization |
| Organization Name | EYE PHYSICIAN ASSOCIATES, S.C. |
| Other Organization Name | EYE PHYSICIAN ASSOCIATES, S.C. |
| Practice Address |
2801 W Kk River Pkwy Suite 170 Milwaukee WI 53215-3669 |
| Practice Telephone | 4143858725 |
| Practice Fax Number | 4143858730 |
| Mailing Telephone | 4143858725 |
| Mailing Fax Number | 4143858730 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | DR. MICHAEL RISSELL (PRESIDENT) |
| Authorized Official Telephone | 4143858725 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE PHYSICIAN ASSOCIATES, S.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34678800 | 05 | |
| WI | 31912700 | 05 | |
| WI | 32306500 | 05 | |
| WI | 1851590343 | 05 | |
| WI | 30934200 | 05 | |
| WI | 32735700 | 05 | |
| WI | 34249800 | 05 | |
| WI | RR MEDICARE | C017777 | 01 |
| WI | MILWAUKEE PTAN | 000073822 | 01 |
| WI | 38632200 | 05 |
| Other Name | Type Code |
|---|---|
| Eye Physician Associates, S.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427347822 | Eye Physician Associates, S.c. | Optometrist | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3396 | 2011-04-06 |
| 1457331894 | Eye Physician Associates, S.c. | Ophthalmology | 2801 W Kinnickinnic River Pkwy, Ste 170, Milwaukee, WI 53215-3669 | 2006-01-20 |
| Street Address |
2801 W KK RIVER PKWY SUITE 170 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209968 | Rebecca Ann Schultz | Nurse Practitioner | 2801 W Kk River Pkwy, Suite 250, Milwaukee, WI 53215-3669 | 2005-10-14 |
| 1033579263 | Vanessa Leigh Cain | Registered Nurse | 2801 W Kk River Pkwy, Suite 245, Milwaukee, WI 53215-3669 | 2016-03-01 |
| 1952778797 | Cody R Zimmerman | Physician Assistant | 2801 W Kk River Pkwy, Suite 345, Milwaukee, WI 53215-3669 | 2015-08-27 |
| 1811363187 | Diane M Stumvoll | Nurse Practitioner | 2801 W Kk River Pkwy, Suite 930, Milwaukee, WI 53215 | 2015-08-20 |
| 1053787499 | Alison Vida | Nurse Practitioner | 2801 W Kk River Pkwy, Suite 930, Milwaukee, WI 53215-3669 | 2015-08-20 |
| 1659757789 | Becky Dienberg | Nurse Practitioner | 2801 W Kk River Pkwy, Suite 930, Milwaukee, WI 53215-3669 | 2015-07-30 |
| 1295144111 | Jacob Finer Keepers | Physician Assistant | 2801 W Kk River Pkwy, Suite 345, Milwaukee, WI 53215-3669 | 2014-08-05 |
| 1255688396 | Katelyn K Stange | Nurse Practitioner | 2801 W Kk River Pkwy, 345, Milwaukee, WI 53215-3669 | 2012-08-08 |
| 1851672489 | Jennifer Joy Richards | Nurse Practitioner | 2801 W Kk River Pkwy, Suite 1030, Milwaukee, WI 53215-3669 | 2011-09-09 |
| 1740561281 | Krista N Rogers | Physician Assistant | 2801 W Kk River Pkwy, Suite 1030, Milwaukee, WI 53215-3669 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| 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.