Organization Active NPI

Donald L Ryszka OD

  • Optometrist
  • Oconto Falls, WI
National Provider Identifier
1417129883
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01411 Issued in WI
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

Updated by the provider on Jan 27, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.