OPHTHALMIC SURGERY OF WI LTD (NPI# 1578617957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578617957 |
| Entity Type | Organization |
| Organization Name | OPHTHALMIC SURGERY OF WI LTD |
| Other Organization Name | OPHTHALMIC SURGERY OF WISCONSIN, LTD |
| Practice Address |
509 S Washburn St Oshkosh WI 54904 |
| Mailing Address |
Po Box 308 Neenah WI 54957-0308 |
| Practice Telephone | 9202361477 |
| Practice Fax Number | 9202364166 |
| Mailing Telephone | 9208867300 |
| Mailing Fax Number | 9207296603 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | GERALD P CLARKE (PRESIDENT) |
| Authorized Official Telephone | 9202364177 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Ophthalmic Surgery of Wisconsin Ltd | Other Name - Individual/Organization |
| Ophthalmic Surgery of Wisconsin, Ltd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093881609 | Ophthalmic Surgery of Wi Ltd | Ophthalmology | 509 S Washburn St, Oshkosh, WI 54904-7949 | 2006-11-27 |
| Street Address |
509 S WASHBURN ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093881609 | Ophthalmic Surgery of Wi Ltd | Ophthalmology | 509 S Washburn St, Oshkosh, WI 54904-7949 | 2006-11-27 |
| 1104988955 | Gerald P Clarke | Ophthalmology | 509 S Washburn St, Oshkosh, WI 54904-7949 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1871076968 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1810 Jackson St, Oshkosh, WI 54901-2204 | 2018-09-13 |
| 1174684534 | Stellar Vision Inc | Eyewear Supplier (Equipment, not the service) | 358 S Koeller St, Oshkosh, WI 54902-5546 | 2006-12-12 |
| 1801993977 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1098 S Koeller St, Koeller Ctr, Oshkosh, WI 54902-6172 | 2006-09-20 |
| 1235181298 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 1300 S Koeller St, Oshkosh, WI 54902-6169 | 2006-05-17 |
| 1083270490 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1810 Jackson St, Oshkosh, WI 54901-2204 | 2019-05-13 |
| 1598188930 | G F Jensen | Eyewear Supplier (Equipment, not the service) | 422 N Main St, Oshkosh, WI 54901-4924 | 2014-01-21 |
| 1972941599 | G F Jensen | Eyewear Supplier (Equipment, not the service) | 422 N Main St, Oshkosh, WI 54901-4924 | 2013-06-05 |
| 1043527773 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 1098 S Koeller St, Koeller Ctr, Oshkosh, WI 54902-6172 | 2010-09-01 |
| 1992969083 | Oshkosh Optical Center S. C. | Eyewear Supplier (Equipment, not the service) | 511 W Murdock Ave, Oshkosh, WI 54901-2213 | 2008-07-17 |
| Find all providers in OSHKOSH | ||||
Please comment or provide details below to improve the information on OPHTHALMIC SURGERY OF WI LTD.
| 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.