Healthcare Provider Details

I. General information

NPI: 1013963107
Provider Name (Legal Business Name): JAY A. MET MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N MAYFAIR RD #350
MILWAUKEE WI
53226-1309
US

IV. Provider business mailing address

2600 N MAYFAIR RD STE 350
MILWAUKEE WI
53226-1372
US

V. Phone/Fax

Practice location:
  • Phone: 414-777-0110
  • Fax:
Mailing address:
  • Phone: 414-777-0110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number39513
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number036103692
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: