Organization
OSHKOSH OPTICAL CENTER S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD P. RUCK O. D. (PRESIDENT)
(920) 233-7825
Entity
Organization
Contact information
Practice address
511 W MURDOCK AVE, OSHKOSH, WI 54901-2213
(920) 233-7825
(920) 233-7825
Mailing address
511 W MURDOCK AVE, OSHKOSH, WI 54901-2213
(920) 233-7825
(920) 233-7825
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1710-035
WI
Other
Enumeration date
07/17/2008
Last updated
06/18/2009
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