OrganizationActive
Eye Surgery & Laser Center of Wisconsin LLC
NPI 1568445062 · Ambulatory Surgical Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1568445062
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Gunnelson, Administrator(414) 773-4662
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
10200 W Innovation Dr
Suite 700
Milwaukee, WI 53226-4825
Phone: (414) 302-9196
Fax: (414) 773-4666
Street-level locationGet directions
Mailing address
10200 W Innovation Drive
Milwaukee, WI 53226-4825
Registry dates
- Enumerated
- 2005-11-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.