MEDICARE: STEIN OPTICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417038423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEIN OPTICAL INC

Provider Business Mailing Address
First Line	:	PO BOX 846309
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6309
Country	:	US
Telephone Number	:	210-524-6663
Fax Number	:	210-524-6587

Provider Business Practice Location Address
First Line	:	5530 N PORT WASHINGTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4920
Country	:	US
Telephone Number	:	414-332-1114
Fax Number	:	414-332-5169

Authorized Official
Title or Position	:	OFFICER
Name	:	DOUG NEWCOM
Credential	:
Telephone Number	:	210-524-6700

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/21/2008

Similar Medicare Providers

1366508285 — JEFFERY SMITH OD
Practice Location Address:

5530 N PORT WASHINGTON RD
MILWAUKEE, WI
53217-4920

Practice Phone: 414-332-1114
Practice Fax: 414-332-5169

1023324811 — WISCONSIN VISION, LLC
Practice Location Address:

5530 N PORT WASHINGTON RD UNIT C
GLENDALE, WI
53217-4920

Practice Phone: 262-432-2005
Practice Fax: 262-432-2006

1477049443 — ELLEN PATRICIA RINGLE OD
Practice Location Address:

5530 N PORT WASHINGTON RD UNIT C
GLENDALE, WI
53217-4920

Practice Phone: 414-897-0152
Practice Fax: 262-923-7609

1356649461 — MRS. TANYA ROCHELLE CONSTABLE
Practice Location Address:

4920 N 85TH ST
MILWAUKEE, WI
53225-4209

Practice Phone: 414-379-0076
Practice Fax:

1396084950 — LA MONTE SMITH MSW
Practice Location Address:

4920 W CAPITOL DR
MILWAUKEE, WI
53216-2321

Practice Phone: 414-393-4832
Practice Fax: 414-393-4815

1528792256 — MOHAMEDNAJIB MOHAMUD KAHIN SR.
Practice Location Address:

4920 S 14TH ST APT 102
MILWAUKEE, WI
53221-3585

Practice Phone: 414-249-7396
Practice Fax:

Directions to “STEIN OPTICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.