PARK PLACE OPTICAL LTD NPI 1255465738

NPI Information

  • NPI: 1255465738
  • Provider Name: PARK PLACE OPTICAL, LTD
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 21 PARK PL
    APPLETON, WI
    ZIP 54914
  • Phone: (920) 739-8235

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NPI Details

PARK PLACE OPTICAL, LTD is an optician technician technologist in Appleton, WI. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. PARK PLACE OPTICAL, LTD NPI is 1255465738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 PARK PL
APPLETON, WI
ZIP 54914-872
Phone: (920) 739-8235
Fax: (920) 749-8095

The provider's authorized official is Michael P Vrabec .
The authorized official title is Officer and has the following contact phone number (920) 739-8235.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/12/2017.

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
1156FX1800XTechnician/TechnologistOpticianYes

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
10379920001MEDICARE NSCWISCONSIN
238424500MEDICAIDWISCONSIN

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: 11/21/2025

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