NPI 1174217178 · live from the CMS NPI Registry
Eye Physician Associates, S.C.
Ophthalmology in Greenfield, WI. National Provider Identifier 1174217178, active.
NPI record
| NPI | 1174217178 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4300 West Layton Avenue, Ste 100, Greenfield, WI 53220 |
| Practice phone | 414-928-2020 |
| Mailing address | 4300 W. Layton Ave, Ste 100, Greenfield, WI 53220 |
| Enumerated | June 5, 2023 |
| Last updated | March 19, 2024 |
| Authorized official | Charles Yang, Medical Director |
| Other names | Loomis Optical |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.