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
—
—
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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