RICHARD THOMAS WRIGHT O.D. NPI 1003871302

Optometrist in Sun Prairie, WI

About RICHARD WRIGHT

Richard Wright is a provider in Sun Prairie, WI with more than 43 years of experience. The NPI number assigned to this provider is 1003871302. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 9 years ago. Richard Wright is registered with Medicare and accepts claims assignment.

NPI1003871302 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name RICHARD THOMAS WRIGHT O.D.
Provider Location Address1455 W MAIN ST SUN PRAIRIE, WI 53590 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1710 CORNWALL CIR SUN PRAIRIE, WI 53590 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameSOUTHERN COLLEGE OF OPTOMETRY
Graduation Year1975
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-30-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

RICHARD THOMAS WRIGHT O.D.
1455 W MAIN ST
SUN PRAIRIE, WI
ZIP 53590
Phone: (608) 825-2020
Fax: (608) 837-0414
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Mailing Address

RICHARD THOMAS WRIGHT O.D.
1710 CORNWALL CIR
SUN PRAIRIE, WI
ZIP 53590
Phone: (608) 837-4289

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1519
License StateWI
Taxonomy DescriptionDoctors 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
38505600MEDICAID (05)WI
47440MEDICARE ID-TYPE UNSPECIFIED (04)WI
0465260001MEDICARE NSC (07)WI
T63717MEDICARE UPIN (02)WI

Map Location


RICHARD THOMAS WRIGHT O.D. address is 1455 W MAIN ST SUN PRAIRIE, WI 53590

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154552875 JEFFREY CLEMENTS O.D.
Individual
Optometrist1455 W MAIN ST
SUN PRAIRIE, WI 53590
(608) 825-2020
1437380250WRIGHT VISION CARE, LLC
Organization
Optometrist1455 W MAIN ST
SUN PRAIRIE, WI 53590
(608) 825-2020
1518915966DR. FREDERIC TROY GORDON OD
Individual
Optometrist1455 W MAIN ST
SUN PRAIRIE, WI 53590
(608) 825-2020
1790896942RICHARD T WRIGHT, OD
Organization
Optometrist1455 W MAIN ST
SUN PRAIRIE, WI 53590
(608) 825-2020