1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Optometrist
  6. NPI Profile

HARBORSIDE EYE CARE LLC
NPI 1245502061
Optometrist in Kenosha, WI

Active since February 09, 2012
5134 - 6TH AVENUE, KENOSHA, WI 53140(262) 652-2020 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harborside Eye Care Llc NPPES

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

HARBORSIDE EYE CARE LLC (NPI 1245502061) is a healthcare organization registered as an optometrist in Kenosha, Wisconsin and active in the NPI registry since February 2012. The organization lists William R Grady, Owner, as its authorized official.

NPPES Registry Identity

NPI1245502061
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameHARBORSIDE EYE CARE LLC
Location Address5134 - 6TH AVENUEKenosha, WI 53140-0000
Mailing Address5134 6th AveKenosha, WI 53140-3404
Phone(262) 652-2020
Organization SubpartNo
Authorized OfficialWilliam R GradyOwner · (262) 652-2020
Enumeration DateFebruary 9, 2012
Last NPPES UpdateApril 19, 2012
✔ NPI 1245502061 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 · 2215 - 035
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.
5134 - 6TH AVENUE, Kenosha, WI 53140
Open in Google Maps ↗

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 Harborside Eye Care LLC's NPI number?

The NPI number for Harborside Eye Care LLC is 1245502061. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Harborside Eye Care LLC located?

Harborside Eye Care LLC is located at 5134 - 6th Avenue, Kenosha, WI 53140. The listed phone number is (262) 652-2020.

What is Harborside Eye Care 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 Harborside Eye Care LLC was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.