Active NPI
Paul R Rice, MD
- Ophthalmology Physician
- West Bend, WI
National Provider Identifier
1629218425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18021
- Practice address
- 5345 Quaas Dr
West Bend, WI 53095-8719 - Phone
- (262) 338-8826
- Fax
- (262) 334-3237
- NPI assigned
- Mar 6, 2009
- Last updated
- Mar 6, 2009
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18021 | WI | Primary |
Addresses
Primary practice location
5345 Quaas Dr
West Bend, WI 53095-8719
Mailing address
5345 Quaas Dr
West Bend, WI 53095-8719
Phone (262) 338-8826
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18021 | WI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1629218425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5345 QUAAS DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958719",
"telephone_number": "262-338-8826",
"fax_number": "262-334-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5345 QUAAS DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958719",
"telephone_number": "262-338-8826",
"fax_number": "262-334-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "PAUL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "18021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.