Organization Active NPI

Ritzinger Optometric Clinic SC

  • Optometrist
  • Hudson, WI
National Provider Identifier
1407816929
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RITZINGER OPTOMETRIC CLINIC SC
Practice address
211 Second St
Hudson, WI 54016
Phone
(715) 386-2020
Fax
(715) 386-1600
NPI assigned
Mar 27, 2006
Organization subpart
Yes
Parent organization
RITZINGER OPTOMETRIC CLINIC SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mr. Mark L. Ritzinger, ODNPI 1649268673
Title
Owner
Phone
(715) 425-7235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

211 Second St
Hudson, WI 54016

Mailing address

211 Second St
Hudson, WI 54016
Phone (715) 386-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000168 WI Part B Supplier - Clinic/Group Practice 9739280819 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ellsworth, WI; Hudson, WI; Prescott, WI; River Falls, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Ritzinger Optometric Clinic SC

Locations

211 2nd St
Hudson, WI 54016
Phone (715) 386-2020

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1407816929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SECOND ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-386-2020",
            "fax_number": "715-386-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SECOND ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-386-2020",
            "fax_number": "715-386-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITZINGER OPTOMETRIC CLINIC SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RITZINGER OPTOMETRIC CLINIC SC",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "RITZINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-425-7235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.