# OPHTHALMOLOGY ASSOCIATES S C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPHTHALMOLOGY ASSOCIATES S C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336024025
- **Legal business name:** OPHTHALMOLOGY ASSOCIATES S C
- **Authorized official:** TONI BERTINO (CREDENTIALING)
- **Authorized official phone:** (414) 294-4660

## Contact information

- **Practice address:** 14300 WEST NATIONAL AVE, SUITE 200, NEW BERLIN, WI 53151
- **Practice address phone:** (262) 784-3937
- **Mailing address:** 4600 W LOOMIS RD STE 310, GREENFIELD, WI 53220-4858
- **Mailing address phone:** (414) 281-0424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | — |
| 152WV0400X | Vision Therapy Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025