Provider Demographics
NPI:1457325045
Name:ZIEGLER LEFFINGWELL EYECARE
Entity Type:Organization
Organization Name:ZIEGLER LEFFINGWELL EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:CHAPMAN
Authorized Official - Last Name:LEFFINGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:414-541-2100
Mailing Address - Street 1:14151 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-4528
Mailing Address - Country:US
Mailing Address - Phone:414-541-2100
Mailing Address - Fax:414-541-2377
Practice Address - Street 1:14151 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-4528
Practice Address - Country:US
Practice Address - Phone:414-541-2100
Practice Address - Fax:414-541-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1848152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38521200Medicaid
WI38521200Medicaid
WIT63745Medicare UPIN
WIT83425Medicare UPIN
WI3985520001Medicare NSC
WI87900-0002Medicare ID - Type Unspecified