Optometric Services, S.C.
Organization Active NPI Optometrist · Little Chute, WI
NPI 1306029616 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1306029616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- WI1829 (WI)
- Legal business name
- OPTOMETRIC SERVICES, S.C.
- Practice address
- 607 Wilson St
Little Chute, WI 54140-1856 - Phone
- (920) 788-4162
- Fax
- (920) 788-6134
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John Elmer Salisbury, O.D.
- Title
- Owner / President
- Phone
- (920) 788-4162
National Provider Directory
Locations
607 Wilson St
Little Chute, WI 54140
Phone (920) 788-3542
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | WI1829 | WI | Yes |
Addresses
Primary practice location
607 Wilson St
Little Chute, WI 54140-1856
Mailing address
607 Wilson St
Little Chute, WI 54140-1856
Phone (920) 788-4162
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000291 | Other | WEA |
Other providers in Little Chute, WI
- Mindful Matters LLC
- Nicholas L Smith Pharmacy LLC
- Nicholas L Smith Pharmacy LLC
- NSH Little Chute LLC
- Nuwave Counseling LLC
- Parkside Care Center LLC
- Jessica L Peterson
- Dann Norbert Pynenberg
- Riverside Dental Care LLC
- John E Salisbury
All providers in Little Chute, WI · Optometrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 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.