Active NPI
Sean P Halpin, O.D.
- Optometrist
- Oshkosh, WI
National Provider Identifier
1528048733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2625
- Practice address
- 1885 W Pointe Dr
Oshkosh, WI 54902-4174 - Phone
- (920) 232-6550
- Fax
- (920) 232-6552
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2625 | WI | Primary |
Addresses
Primary practice location
1885 W Pointe Dr
Oshkosh, WI 54902-4174
Mailing address
PO Box 7754
Appleton, WI 54912-7080
Phone (920) 830-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38599100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2625 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1528048733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7754",
"city": "APPLETON",
"state": "WI",
"postal_code": "549127080",
"telephone_number": "920-830-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 W POINTE DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549024174",
"telephone_number": "920-232-6550",
"fax_number": "920-232-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALPIN",
"first_name": "SEAN",
"middle_name": "P",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38599100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.