Individual provider Active NPI

Gerald Parupsky, O.D.

  • Optometrist
  • Hudson, WI
National Provider Identifier
1750412722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1250-035 Issued in WI
Practice address
1801 Ward Ave
Suite 264 Plaza94
Hudson, WI 54016-2119
Phone
(715) 386-8401
Fax
(715) 386-8476
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1250-035 WI Primary

Addresses

Primary practice location

1801 Ward Ave
Suite 264 Plaza94
Hudson, WI 54016-2119

Mailing address

1801 Ward Ave
Suite 264 Plaza94
Hudson, WI 54016-2119
Phone (715) 386-8401

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

LicenseStateTypeSpecialty
1250-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Optical Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750412722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WARD AVE",
            "address_2": "SUITE 264 PLAZA94",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162119",
            "telephone_number": "715-386-8401",
            "fax_number": "715-386-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WARD AVE",
            "address_2": "SUITE 264 PLAZA94",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162119",
            "telephone_number": "715-386-8401",
            "fax_number": "715-386-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUPSKY",
        "first_name": "GERALD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1250-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.