Organization Name: | OSHKOSH OPTICAL CENTER S. C. |
NPI Number: | 1992969083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD P. RUCK (PRESIDENT) |
Mailing Address: | 511 W Murdock Ave Oshkosh |
State: | WI US |
Postal Code: | 549012213 |
Phone Number: | 9202337825 |
Fax Number: | 9202337825 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 1710-035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |