OSHKOSH OPTICAL CENTER S. C. (NPI# 1992969083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992969083 |
| Entity Type | Organization |
| Organization Name | OSHKOSH OPTICAL CENTER S. C. |
| Practice Address |
511 W Murdock Ave Oshkosh WI 54901-2213 |
| Practice Telephone | 9202337825 |
| Practice Fax Number | 9202337825 |
| Mailing Telephone | 9202337825 |
| Mailing Fax Number | 9202337825 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | DR. DONALD P. RUCK (PRESIDENT) |
| Authorized Official Telephone | 9202337825 |
| Authorized Official Credential | O. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1710-035 | WI | Suppliers |
| Street Address |
511 W MURDOCK AVE |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649378142 | Donald P Ruck | Optometrist | 511 W Murdock Ave, Oshkosh, WI 54901-2213 | 2006-09-20 |
| 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 |
| 1578617957 | Ophthalmic Surgery of Wi Ltd | Eyewear Supplier (Equipment, not the service) | 509 S Washburn St, Oshkosh, WI 54904 | 2007-01-22 |
| Find all providers in OSHKOSH | ||||
Please comment or provide details below to improve the information on OSHKOSH OPTICAL CENTER S. C..
| 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.