# SUMMIT EYE CARE OF WISCONSIN SC

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

## Provider details

- **NPI number:** 1992350375
- **Authorized official:** DR. JOHN VUKICH M.D. (OWNER)
- **Authorized official phone:** (414) 877-6414

## Contact information

- **Practice address:** 10425 W NORTH AVE STE 245, WAUWATOSA, WI 53226-2416
- **Practice address phone:** (414) 877-6414
- **Mailing address:** 10425 W NORTH AVE STE 140, WAUWATOSA, WI 53226-2400
- **Mailing address phone:** (414) 877-6414
- **Mailing address fax:** (414) 386-5245

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 01/22/2020