# GONNERING EYE CONSULTANTS, S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982754685
- **Authorized official:** RUSSELL S GONNERING M.D. (OWNER)
- **Authorized official phone:** (414) 778-3224

## Contact information

- **Practice address:** 2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
- **Practice address phone:** (414) 778-3224
- **Mailing address:** 11716 W GREENFIELD AVE, WEST ALLIS, WI 53214-2156
- **Mailing address phone:** (414) 778-3224
- **Mailing address fax:** (414) 778-3886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 20265020 | WI | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30320200 | — | WI |