Dr. Jill Anderson & Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2651 Issued in WI

Legal business name

DR. JILL ANDERSON & ASSOCIATES, LLC

Practice address

422 N Main St
Oshkosh, WI 54901-4924

Phone

(920) 235-8500

Fax

(920) 303-5547

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jill Ann Anderson, OD

Title

Owner/Optometrist

Phone

(715) 340-0496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1275939621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014924",
            "telephone_number": "920-235-8500",
            "fax_number": "920-303-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014924",
            "telephone_number": "920-235-8500",
            "fax_number": "920-303-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JILL ANDERSON & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "715-340-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany A Dorton, NP
• William G Doubek, M.D.
• Kathryn L Douglas
• Matthew Paige Downs, M.D.
• Dr J J Marsh LTD
• Brittany A Drath, MD
• Kathryn Draxler, RN
• Nicole Dreier
• Cathy Lynn Dreifuerst, AU.D.
• Jared Martin Drummond, AU.D.

• 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 Nov 12, 2014; 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.