Oshkosh Optical Center S. C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1710-035 Issued in WI

Legal business name

OSHKOSH OPTICAL CENTER S. C.

Practice address

511 W Murdock Ave
Oshkosh, WI 54901-2213

Phone

(920) 233-7825

Fax

(920) 233-7825

NPI assigned

Jul 17, 2008

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald P. Ruck, O. D.NPI 1649378142

Title

President

Phone

(920) 233-7825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald P Ruck, O.D.

  • Optometrist
  • Oshkosh, WI
  • NPI 1649378142
  Authorized official Same address or phone

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1992969083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W MURDOCK AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012213",
            "telephone_number": "920-233-7825",
            "fax_number": "920-233-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W MURDOCK AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012213",
            "telephone_number": "920-233-7825",
            "fax_number": "920-233-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHKOSH OPTICAL CENTER S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "RUCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-233-7825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "1710-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oshkosh Family Dental LLC
• Oshkosh Health Services Division
• Oshkosh Management, LLC
• Oshkosh Marriage and Family Therapy Center, LLC
• Oshkosh Murdock Al Operations LLC
• Oshkosh Orthopaedics, S.C.
• Oshkosh Smiles Dentistry LLC
• Oshkosh Spine Wellness Center LLC
• Oshkosh Transit LLC
• Ahmed U Otokiti, MD

• Eyewear Supplier in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.