Individual
DR. VICTOR H ROEDER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 WATSON ST, RIPON, WI 54971-1326
(920) 748-2676
(920) 748-5105
Mailing address
113 WATSON ST, RIPON, WI 54971-1326
(920) 748-2676
(920) 748-5105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2466-035
WI
152WC0802X
Corneal and Contact Management Optometrist
2466-035
WI
152WL0500X
Low Vision Rehabilitation Optometrist
2466-035
WI
152WP0200X
Pediatric Optometrist
2466-035
WI
152WS0006X
Sports Vision Optometrist
2466-035
WI
152WV0400X
Vision Therapy Optometrist
2466-035
WI
152WX0102X
Occupational Vision Optometrist
Primary
2466-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38591300
—
WI
Enumeration date
09/07/2006
Last updated
09/11/2025
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