Active NPI
Donald L Ryszka OD
- Optometrist
- Oconto Falls, WI
National Provider Identifier
1417129883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01411
- Legal business name
- DONALD L RYSZKA OD
- Practice address
- 835 South Main St
Ste 4
Oconto Falls, WI 54154-1282 - Phone
- (920) 846-2845
- Fax
- (920) 846-2845
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald L Ryszka, OD
- Title
- Optometrist Owner
- Phone
- (920) 846-2845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 01411 | WI | Primary |
Addresses
Primary practice location
835 South Main St
Ste 4
Oconto Falls, WI 54154-1282
Mailing address
835 South Main St
Ste 4
Oconto Falls, WI 54154-1282
Phone (920) 846-2845
National Provider Directory
National Provider DirectoryLocations
835 S Main St
Ste 4
Oconto Falls, WI 54154
Phone (920) 846-2845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1417129883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SOUTH MAIN ST",
"address_2": "STE 4",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541282",
"telephone_number": "920-846-2845",
"fax_number": "920-846-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SOUTH MAIN ST",
"address_2": "STE 4",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541282",
"telephone_number": "920-846-2845",
"fax_number": "920-846-2845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD L RYSZKA OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "RYSZKA",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPTOMETRIST OWNER",
"authorized_official_telephone_number": "920-846-2845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "01411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconto Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.