NPI 1811005291 · live from the CMS NPI Registry
Eye Surgery Associates, S.C.
Ophthalmology in Milwaukee, WI. National Provider Identifier 1811005291, active.
NPI record
| NPI | 1811005291 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2300 N Mayfair Rd, Milwaukee, WI 53226 |
| Practice phone | 414-639-0188 |
| Mailing address | Po Box 5166, Elm Grove, WI 53122 |
| Enumerated | August 27, 2006 |
| Last updated | May 15, 2012 |
| Authorized official | Gregory Kwasny, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 17590 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.