Active NPI
Joshua Aryeh Rinde, OD
- Optometrist
- Pleasant Prairie, WI
National Provider Identifier
1538739263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3684-35
- Practice address
- 10347 77TH St Ste 618
Pleasant Prairie, WI 53158-1137 - Phone
- (602) 677-4856
- NPI assigned
- Jun 25, 2021
- 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 | 3684-35 | WI | Primary |
Addresses
Primary practice location
10347 77TH St Ste 618
Pleasant Prairie, WI 53158-1137
Mailing address
6 Yorkshire Dr
Lincolnshire, IL 60069-3167
Phone (602) 677-4856
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3684-35 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1538739263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 YORKSHIRE DR",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693167",
"telephone_number": "602-677-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10347 77TH ST STE 618",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581137",
"telephone_number": "602-677-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINDE",
"first_name": "JOSHUA",
"middle_name": "ARYEH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3684-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.