EYE PHYSICIAN ASSOCIATES, S.C.
NPI 1427347822
Ophthalmology in Mequon, WI

NPI Status: Active since April 06, 2011

Contact Information

1249 W LIEBAU RD
SUITE 102
MEQUON, WI
ZIP 53092
Phone: (262) 243-3001
Fax: (262) 243-3006

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  • Organization
  • Ophthalmology
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 52D2180710
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-17-2026

About EYE PHYSICIAN ASSOCIATES, S.C.

This page provides the complete NPI Profile along with additional information for Eye Physician Associates, S.c., a provider established in Mequon, Wisconsin operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1427347822 assigned on April 2011. The practitioner's primary taxonomy code is 207W00000X with license number 3867120 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Eye Physician Associates, S.c.. The authorized official of this NPI record is Dr. Charles Yang M.d. (President)

NPI
1427347822
Provider Legal Name
EYE PHYSICIAN ASSOCIATES, S.C.
Other Organization Name
EYE PHYSICIAN ASSOCIATES, S.C.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1249 W LIEBAU RD SUITE 102 MEQUON, WI 53092
Location Phone
(262) 243-3001
Location Fax
(262) 243-3006
Mailing Address
4300 W. LAYTON AVE STE 100 GREENFIELD, WI 53220
Mailing Phone
(414) 260-0789
Mailing Fax
(262) 243-3006
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2011
Last Update Date
03-20-2024
Code Navigator

Ophthalmologists like Eye Physician Associates, S.c. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Eye Physician Associates, S.c. is a medicare supplier with PTAN 20663549 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
3867120
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

3427120 (WI)
2207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

4492620 (WI)
3207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

4839520 (WI)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHARLES YANG M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 928-2020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
38616200MEDICAID (05)WI 
38632200MEDICAID (05)WI 
000046037OTHER (01)WIOZAUKEE PTAN
100189991MEDICAID (05)WI 
32735700MEDICAID (05)WI 
73605OTHER (01)WPS
1851590343MEDICAID (05)WI 
34678800MEDICAID (05)WI 
C017777OTHER (01)WIRR MEDICARE
38622400MEDICAID (05)WI 
124580001OTHER (01)WIDMEPOS ASSIGNED
32306500MEDICAID (05)WI 
34249800MEDICAID (05)WI 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20663549
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2180710
Facility Type
Physician Office
Certificate Effective Date
March 18, 2024
Certificate Expiration Date
March 17, 2026
Laboratory Director
DR. MARC D. HIRSCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eye Physician Associates, S.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427347822
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447641484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 4 + 1 + 4 + 8 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1427347822 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750308821RICHARD A HAAS MDSC
Organization
Anesthesiology1249 W LIEBAU RD SUITE 104
MEQUON, WI 53092
(262) 243-1244
1952519712 MARY BETH GEISER PT
Individual
Physical Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1215214192 SUE A REED AT
Individual
Specialist/Technologist (Athletic Trainer)1249 W LIEBAU RD SUITE 100
MEQUON, WI 53092
(262) 243-4167
1427447150 LINDSAY THOMPSON LAT
Individual
Specialist/Technologist (Athletic Trainer)1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1932653144 DAVID DETTINGER P.T.
Individual
Physical Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1861948861 MARTHA CRAUN
Individual
Physical Therapy Assistant1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1700322237 KATHRYN MOLITOR SIMON PT
Individual
Physical Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1467581447HERSLOF'S, INC
Organization
Technician/Technologist (Optician)1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-5870
1831579366 KRISTEN TESS GOLLNICK PT, DPT
Individual
Physical Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1033665120 JENNIFER D'URSO PT
Individual
Physical Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1225157266 JACKIE KUCHARSKI OT
Individual
Occupational Therapist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161
1295514370 CATHERINE MARIE PAYAN JASPERSON M.S. CF-SLP
Individual
Speech-Language Pathologist1249 W LIEBAU RD
MEQUON, WI 53092
(262) 243-4161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427347822, enumerated in the NPI registry as an "organization" on April 06, 2011

The provider is located at 1249 W Liebau Rd Suite 102 Mequon, Wi 53092 and the phone number is (262) 243-3001

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 52D2180710 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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