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EYE CLINIC OF WAUKESHA LLC
NPI 1013165729
Optometrist in Waukesha, WI

Active since September 05, 2008
2426 N GRANDVIEW BLVD, SUITE D, WAUKESHA, WI 53188(262) 549-2020(262) 522-8117 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eye Clinic Of Waukesha Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CLINIC OF WAUKESHA LLC (NPI 1013165729), doing business as Kristopher Knous Od Llc, is a healthcare organization registered as an optometrist in Waukesha, Wisconsin and active in the NPI registry since September 2008. The organization lists Genni Mahoney, Owner, as its authorized official.

NPPES Registry Identity

NPI1013165729
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE CLINIC OF WAUKESHA LLC
Location Address2426 N GRANDVIEW BLVD, SUITE DWaukesha, WI 53188-6905
Mailing Address2426 N Grandview Blvd, Suite DWaukesha, WI 53188-6905 · (262) 549-2020 · Fax (262) 522-8117
Phone(262) 549-2020
Fax(262) 522-8117
Organization SubpartNo
Authorized OfficialGenni MahoneyOwner · (262) 549-2020
Enumeration DateSeptember 5, 2008
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1013165729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 2999
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2426 N GRANDVIEW BLVD, Waukesha, WI 53188
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Other Names 1

Former Legal Business NameKristopher Knous Od Llc

Other Identifiers 4

Medicaid38625000WI
Other3946025WI · Medicare Provider Number
Other1356432199WI · Personal Npi
Medicare UPINU98047WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Clinic Of Waukesha LLC's NPI number?

The NPI number for Eye Clinic Of Waukesha LLC is 1013165729. It was assigned to this organization in the NPPES registry on September 5, 2008. The provider was formerly known as Kristopher Knous Od LLC.

Where is Eye Clinic Of Waukesha LLC located?

Eye Clinic Of Waukesha LLC is located at 2426 N Grandview Blvd Suite D, Waukesha, WI 53188. The listed phone number is (262) 549-2020.

What is Eye Clinic Of Waukesha LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Eye Clinic Of Waukesha LLC was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.