Active NPI
Oscar Ortiz, O.D.
- Corneal and Contact Management Optometrist
- Madison, WI
National Provider Identifier
1215182563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3127-035
- Practice address
- 1 W Towne Mall
Madison, WI 53719-1019 - Phone
- (608) 829-2440
- NPI assigned
- Nov 28, 2008
- Last updated
- Nov 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3127-035 | WI | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 0618001789 | VA |
Addresses
Primary practice location
1 W Towne Mall
Madison, WI 53719-1019
Mailing address
8135 Broadmoor St
Madison, WI 53719-4465
Phone (571) 277-1422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001789 | VA | MD | Corneal and Contact Management Optometrist |
| 3127-035 | WI | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent R Facchiano & Assoc SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Madison, WI
- NPI 1942211925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227830400000",
"number": "1215182563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 BROADMOOR ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537194465",
"telephone_number": "571-277-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W TOWNE MALL",
"city": "MADISON",
"state": "WI",
"postal_code": "537191019",
"telephone_number": "608-829-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "OSCAR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-28",
"last_updated": "2008-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WI",
"license": "3127-035",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "VA",
"license": "0618001789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.