Anderson Vision Center, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI1919 Issued in WI

Legal business name

ANDERSON VISION CENTER, LTD.

Practice address

461 N Washburn St
Oshkosh, WI 54904-7812

Phone

(920) 235-8880

Fax

(920) 235-4906

NPI assigned

Jan 29, 2007

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin A Brey, BBA

Title

Manager

Phone

(920) 235-8880

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1255477402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047812",
            "telephone_number": "920-235-8880",
            "fax_number": "920-235-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 N WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047812",
            "telephone_number": "920-235-8880",
            "fax_number": "920-235-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON VISION CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BREY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-235-8880",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan P Ames, OD
• Shakellah Amini, M.D.
• Ams of Wisconsin LLC
• Evelyn Lauren Andersen, ARNP
• Anderson Chiropractic of Oshkosh, S. C.
• Amanda Clare Anderson
• Autumn Bridget Anderson, COTA
• Brian L Anderson, DC
• Jaxson Reed Anderson, DMD
• John T Anderson, OD

• Optometrist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.