# EYE PHYSICIAN ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457331894
- **Authorized official:** CHARLES B YANG MD (PRESIDENT)
- **Authorized official phone:** (414) 928-2020

## Contact information

- **Practice address:** 4300 W. LAYTON AVE, STE 100, MILWAUKEE, WI 53220-5132
- **Practice address phone:** (414) 928-2020
- **Practice address fax:** (414) 210-3402
- **Mailing address:** 4300 W. LAYTON AVE, STE 100, MILWAUKEE, WI 53220-5132
- **Mailing address phone:** (414) 928-2020
- **Mailing address fax:** (414) 210-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 11/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000073822 | MILWAUKEE PTAN | WI |
| 01 | — | 0264580001 | DMEPOS ASSIGNED | — |
| 05 | — | 100189991 | — | WI |
| 05 | — | 32306500 | — | WI |
| 05 | — | 32735700 | — | WI |
| 05 | — | 34249800 | — | WI |
| 05 | — | 34678800 | — | WI |
| 05 | — | 38622400 | — | WI |
| 05 | — | 38632200 | — | WI |
| 01 | — | 73605 | WISCONSIN PHYSICIAN SERVI | WI |
| 01 | — | ========= | COMPCARE | WI |
| 01 | — | ========= | UNITED HEALTH CARE | — |
| 01 | — | C01777 | RAILROAD MEDICARE | — |