EYE CLINIC OF THE FOX VALLEY SC (NPI# 1669524633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669524633 |
| Entity Type | Organization |
| Organization Name | EYE CLINIC OF THE FOX VALLEY SC |
| Practice Address |
503 Doctors Ct Oshkosh WI 54901-2025 |
| Practice Telephone | 9202363540 |
| Practice Fax Number | 9202363546 |
| Mailing Telephone | 9202363540 |
| Mailing Fax Number | 9202363546 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | STEPHEN S DUDLEY (PRESIDENT) |
| Authorized Official Telephone | 9202353546 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699827394 | Eye Clinic of The Fox Valley Sc | Eyewear Supplier (Equipment, not the service) | 240 First Street, Neenah, WI 54956-2719 | 2007-01-16 |
| 1003925892 | Eye Clinic of The Fox Valley Sc | Optometrist | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-08-29 |
| Street Address |
503 DOCTORS CT |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003925892 | Eye Clinic of The Fox Valley Sc | Optometrist | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-08-29 |
| 1639442932 | Baycare Clinic, LLP | Optometrist | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2012-02-16 |
| 1386753523 | Stephen Sherman Dudley | Ophthalmology | 503 Doctors Ct, Oshkosh, WI 54901-2025 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| 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 | ||||
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| 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.