GREAT LAKES FAMILY VISION SC
NPI 1437485125
Eyewear Supplier in Saukville, WI

Active since October 30, 2009
289 E GREEN BAY AVE, SAUKVILLE, WI 53080(262) 268-2007(262) 268-8257 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Family Vision Sc NPPES

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

GREAT LAKES FAMILY VISION SC (NPI 1437485125) is a healthcare organization registered as an eyewear supplier in Saukville, Wisconsin and active in the NPI registry since October 2009. The organization lists Stuart Wade Natale, Owner/ Optometrist, as its authorized official.

NPPES Registry Identity

NPI1437485125
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameGREAT LAKES FAMILY VISION SC
Location Address289 E GREEN BAY AVESaukville, WI 53080-2006
Mailing Address289 E Green Bay AveSaukville, WI 53080-2006 · (262) 268-2007 · Fax (262) 268-8257
Fax(262) 268-8257
Organization SubpartNo
Authorized OfficialStuart Wade NataleOwner/ Optometrist · (262) 268-2007
Enumeration DateOctober 30, 2009
Last NPPES UpdateDecember 11, 2009
✔ NPI 1437485125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in WI · 2716035
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
289 E GREEN BAY AVE, Saukville, WI 53080

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Family Vision Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Great Lakes Family Vision Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1427116375
289 E GREEN BAY AVE
Saukville, WI 53080
(262) 268-2007
✔ PECOSSame address
Optometry
NPI 1992793806
120 MARTIN DR
Fredonia, WI 53021
(262) 692-9000
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Lakes Family Vision Sc's NPI number?

The NPI number for Great Lakes Family Vision Sc is 1437485125. It was assigned to this organization in the NPPES registry on October 30, 2009.

Where is Great Lakes Family Vision Sc located?

Great Lakes Family Vision Sc is located at 289 E Green Bay Ave, Saukville, WI 53080. The listed phone number is (262) 268-2007.

What is Great Lakes Family Vision Sc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Great Lakes Family Vision Sc enrolled in Medicare?

Yes. Great Lakes Family Vision Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Family Vision Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Great Lakes Family Vision Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Family Vision Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Great Lakes Family Vision Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Family Vision Sc was last updated on December 11, 2009. 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.