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Organization
MILWAUKEE EYE CARE ASSOCIATES S.C.
Active
Organization
MILWAUKEE EYE CARE ASSOCIATES S.C.
Active
Other names
Foote Laser Vision
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NATHANIEL EDMONDS MD (OWNER)
(414) 271-2020
Entity
Organization
Contact information
Practice address
1684 N PROSPECT AVE, MILWAUKEE, WI 53202-2408
(414) 271-2020
Mailing address
1684 N PROSPECT AVE, MILWAUKEE, WI 53202-2498
(414) 271-2020
(414) 272-3932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002560
DMERC PIN
WI
05
—
38711800
—
WI
Enumeration date
08/23/2005
Last updated
04/14/2026
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