Todd William Wild in Weyauwega - Optometrist

Todd William Wild - NPI 1992737704

Todd William Wild is a Optometrist in Weyauwega, Wisconsin. Todd William Wild practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Todd William Wild is 1992737704. The last update date is 2021-11-30.

Todd William Wild's current location address is Po Box 350, Weyauwega, Wisconsin. You can contact this provider via phone number 9208673131 and fax number 9208673408. The mailing address for Todd William Wild is Po Box 350, Weyauwega, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd William Wild
Address Po Box 350, Weyauwega, Wisconsin
Phone Number 9208673131
Fax Number 9208673408
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1992737704
Provider Enumeration Date 2006-07-06
Last Updated Date 2021-11-30

Provider Mailing Address Detail

Address Po Box 350
City Weyauwega
State Wisconsin (WI)
Post Code 549830350
Phone Number 9208673131
Fax Number 9208673408

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2346
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38578700 WI --

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FAQs about Todd William Wild

What is the unique provider identifier assigned to Todd William Wild?

The Todd William Wild has been issued the NPI (National Provider Identifier) 1992737704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Todd William Wild is located?

The Todd William Wild is situated at the following address: Po Box 350, Weyauwega, WI, 549830350.

What is the area of specialization for Todd William Wild, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Todd William Wild is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992737704 to Todd William Wild?

The Todd William Wild received its 1992737704 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.

As of what date was the information regarding Todd William Wild, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Todd William Wild, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-30.

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