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

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.

Title

President

Phone

(920) 233-7825

Specialties & licenses 1

Addresses

Locations

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": []
}

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• 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.