Anderson Vision Center, LTD.
Organization Active NPI Optometrist · Oshkosh, WI
NPI 1255477402 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1255477402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- WI1919 (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
- Organization subpart
- No
Authorized official
- Name
- Erin A Brey, BBA
- Title
- Manager
- Phone
- (920) 235-8880
National Provider Directory
Locations
461 N Washburn St
Oshkosh, WI 54904
Phone (920) 235-8880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | WI1919 | WI | Yes |
Addresses
Primary practice location
461 N Washburn St
Oshkosh, WI 54904-7812
Mailing address
461 N Washburn St
Oshkosh, WI 54904-7812
Phone (920) 235-8880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38521800 | Medicaid | WI |
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.