OrganizationActive
Dr Wagner Southridge Optical LLC
NPI 1255591236 · Eyewear Supplier · Greendale, WI
Dr Wagner Southridge Optical LLC is a Eyewear Supplier organization in Greendale, WI (NPI 1255591236).
Provider details
- NPI number
- 1255591236
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Joan Serrano, Manager(414) 855-0469
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5300 S 76th St
Ste 690
Greendale, WI 53129-1102
Phone: (414) 855-0469
Fax: (414) 855-0492
Street-level locationGet directions
Mailing address
5300 S 76th St
Greendale, WI 53129-1102
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2009-08-17
Frequently asked questions
- What is Dr Wagner Southridge Optical LLC's NPI number?
- Dr Wagner Southridge Optical LLC's National Provider Identifier (NPI) is 1255591236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Wagner Southridge Optical LLC?
- Dr Wagner Southridge Optical LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Dr Wagner Southridge Optical LLC located?
- Dr Wagner Southridge Optical LLC's practice location on file with NPPES is 5300 S 76th St, Greendale, WI 53129-1102.
- What is Dr Wagner Southridge Optical LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr Wagner Southridge Optical LLC is (414) 855-0469.
- Who is the authorized official for Dr Wagner Southridge Optical LLC?
- The authorized official listed on Dr Wagner Southridge Optical LLC's NPPES record is Joan Serrano, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Wagner Southridge Optical LLC's NPI active?
- Yes — Dr Wagner Southridge Optical LLC's NPI (1255591236) is active in the NPPES registry as of the last update on 2009-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.