Provider Type Icon

OPHTHALMIC SURGERY OF WI LTD NPI 1093881609


NPI Information

NPI: 1093881609
Provider Name: OPHTHALMIC SURGERY OF WI LTD

Other Name: OPHTHALMIC SURGERY OF WISCONSIN LTD

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
509 S WASHBURN ST
OSHKOSH, WI
ZIP 54904
Phone: (920) 236-4160
Get Directions

OPHTHALMIC SURGERY OF WI LTD is an ophthalmology in Oshkosh, WI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. OPHTHALMIC SURGERY OF WI LTD NPI is 1093881609. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ophthalmic Surgery Of Wisconsin Ltd.

The provider's business location address is:

509 S WASHBURN ST
OSHKOSH, WI
ZIP 54904-949
Phone: (920) 236-4160
Fax: (920) 236-4166

The provider's authorized official is Gerald P Clarke .
The authorized official title is President and has the following contact phone number (920) 236-4160.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 6/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132704500MEDICAIDWISCONSIN
2CS8378OTHERWISCONSINRETIRED RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.