Active NPI
Heather Ritter, O.D.
- Optometrist
- Wausau, WI
National Provider Identifier
1255418802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3060-035
- Practice address
- 4300 Rib Mountain Dr
Wausau, WI 54401-6604 - Phone
- (715) 241-9893
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3060-035 | WI | Primary |
Addresses
Primary practice location
4300 Rib Mountain Dr
Wausau, WI 54401-6604
Mailing address
1581 115TH St
Chippewa Falls, WI 54729-5585
Phone (715) 834-1737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000047651 | Other | WI | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070720000813 | WI | Practitioner - Optometry | 6305947367 | Practice locations: Wausau, WI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3060-035 | WI | MD | Optometrist |
| 3060 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1255418802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 115TH ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547295585",
"telephone_number": "715-834-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 RIB MOUNTAIN DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544016604",
"telephone_number": "715-241-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "HEATHER",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3060-035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "000047651",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.