Pewaukee Vision Sc
NPI 1780053595 · Optometrist · Waukesha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pewaukee Vision Sc is a Optometrist organization in Waukesha, WI (NPI 1780053595).
Provider details
- NPI number
- 1780053595
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Elyse Bruns, Co-Owner(715) 892-2691
Specialties & taxonomies
Eye and Vision Services Providers
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2315 Silvernail RdPewaukee, WI 53072-5402Phone: (262) 521-9383Fax: (262) 521-9484
Registry dates
- Enumerated
- 2015-09-22
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Frequently asked questions
- What is Pewaukee Vision Sc's NPI number?
- Pewaukee Vision Sc's National Provider Identifier (NPI) is 1780053595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pewaukee Vision Sc?
- Pewaukee Vision Sc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Pewaukee Vision Sc located?
- Pewaukee Vision Sc's practice location on file with NPPES is 1111 Delafield St Ste 212, Waukesha, WI 53188-3403.
- What is Pewaukee Vision Sc's phone number?
- The practice phone number listed in the NPPES registry for Pewaukee Vision Sc is (262) 521-9383.
- Does Pewaukee Vision Sc accept Medicare?
- Pewaukee Vision Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pewaukee Vision Sc?
- The authorized official listed on Pewaukee Vision Sc's NPPES record is Elyse Bruns, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pewaukee Vision Sc's NPI active?
- Yes — Pewaukee Vision Sc's NPI (1780053595) is active in the NPPES registry as of the last update on 2024-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.