NPIMap

Organization Active NPI

Teleoptometric Service, P.C.

  • Optometrist
  • Appleton, WI
National Provider Identifier
1962334672
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TELEOPTOMETRIC SERVICE, P.C.
Practice address
1000 N Westhill Blvd
Appleton, WI 54914-5792
Phone
(380) 223-3412
NPI assigned
May 29, 2026
Organization subpart
Yes
Parent organization
TELEOPTOMETRIC SERVICE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Susan L Christopher-Brand
Title
Credentialing Manager
Phone
(703) 314-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1000 N Westhill Blvd
Appleton, WI 54914-5792

Mailing address

1 Vermont Dr
New Hyde Park, NY 11042-1128
Phone (380) 223-3412

National Provider Directory

National Provider Directory
Tax ID family
Teleoptometric Service PC17 organizations share this tax ID, including this one
Part of
Teleoptometric Service PC

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1962334672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERMONT DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128",
            "telephone_number": "380-223-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTHILL BLVD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145792",
            "telephone_number": "380-223-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER-BRAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "703-314-8795"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.