# MILWAUKEE EYE CARE ASSOCIATES S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foote Laser Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609869858
- **Authorized official:** JASON NATHANIEL EDMONDS MD (OWNER)
- **Authorized official phone:** (414) 271-2020

## Contact information

- **Practice address:** 1684 N PROSPECT AVE, MILWAUKEE, WI 53202-2408
- **Practice address phone:** (414) 271-2020
- **Mailing address:** 1684 N PROSPECT AVE, MILWAUKEE, WI 53202-2498
- **Mailing address phone:** (414) 271-2020
- **Mailing address fax:** (414) 272-3932

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 04/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000002560 | DMERC PIN | WI |
| 05 | — | 38711800 | — | WI |