THERESA LYNN PETRICK GATCHELL


Address: 1300 S Koeller Road, Oshkosh, WI 54902
Phone: 9204265730

THERESA LYNN PETRICK GATCHELL (NPI# 1285688192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285688192
Entity Type Individual
Full Name THERESA LYNN PETRICK GATCHELL
Credential OD
Practice Address 1300 S Koeller Road
Oshkosh
WI 54902
Practice Telephone 9204265730
Practice Fax Number 9204261708
Mailing Telephone 9204265730
Mailing Fax Number 9204261708
Enumeration Date 2006-05-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2857-035 WI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 38615900 05

Office Location

Street Address 1300 S KOELLER ROAD
City OSHKOSH
State WI
Zip Code 54902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528688363 Grandpa Ray's Home Care Partners LLC In Home Supportive Care 1755 W 7th Avenue, Oshkosh, WI 54902 2020-04-22
1942866314 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1212 S Koeller St, Oshkosh, WI 54902 2019-05-11
1508299926 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1736 W. 9th Ave., Oshkosh, WI 54902 2013-08-21
1881971513 Eric D Jachthuber Pharmacist 950 Koeller Rd, Oshkosh, WI 54902 2011-11-09
1912158148 Jennifer L Daly Registered Nurse 648 West 5th Avenue, Oshkosh, WI 54902 2008-10-07
1093873028 Phyllis Ann Pieplow Registered Nurse 2307 Doty St, Oshkosh, WI 54902 2006-12-04
1336210939 Juliette P M Sterkens Audiologist 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 2006-11-13
1043266927 Christopher S. Mcfarlane Dentist 1875 West Pointe Dr., Oshkosh, WI 54902 2006-05-25
1558329821 Teresa M Vanaacken Physical Therapist 300 S Koeller Street, Suite B, Oshkosh, WI 54902 2006-05-03
1942477187 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1855 S Koeller St, Oshkosh, WI 54902 2008-05-15
Find all providers in zip 54902

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255477402 Anderson Vision Center, Ltd. Optometrist 461 N Washburn St, Oshkosh, WI 54904-7812 2007-01-29
1063574812 Garry G Brown Optometrist 719 Doctors Ct, Oshkosh, WI 54901-2077 2006-12-15
1649378142 Donald P Ruck Optometrist 511 W Murdock Ave, Oshkosh, WI 54901-2213 2006-09-20
1366552663 Dr J J Marsh Ltd Optometrist 2510 W. 9th Ave, Oshkosh, WI 54904-4907 2006-08-30
1003925892 Eye Clinic of The Fox Valley Sc Optometrist 503 Doctors Ct, Oshkosh, WI 54901-2025 2006-08-29
1043262322 Nathan Paul Forst Optometrist 1300 S. Koeller Road, Oshkosh, WI 54902-6196 2006-05-16
1356328645 Jennifer Marie Reiland Optometrist 423 N Main St, Oshkosh, WI 54901-4907 2005-12-28
1215928924 Richard E Ames Optometrist 1951 Bowen St, Oshkosh, WI 54901-2357 2005-11-02
1205825445 G F Jensen Optometrist 422 N Main St, Oshkosh, WI 54901-4924 2005-10-20
1194718122 John T Anderson Optometrist 251 N Sawyer St, Oshkosh, WI 54902-4251 2005-08-24
Find all providers in OSHKOSH

Competitor

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City OSHKOSH
Zip Code 54902

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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