THE WAUPUN EYE CLINIC
NPI 1548286909
Optometrist in Waupun, WI

Active since July 15, 2006
140 GATEWAY DR, WAUPUN, WI 53963(920) 324-3191(920) 324-5026 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Waupun Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE WAUPUN EYE CLINIC (NPI 1548286909) is a healthcare organization registered as an optometrist in Waupun, Wisconsin and active in the NPI registry since July 2006. The organization lists Thomas Castillo, Corporation Officer, as its authorized official.

NPPES Registry Identity

NPI1548286909
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVITA PARK EYE ASSOCIATES, SC
Location Address140 GATEWAY DRWaupun, WI 53963-2276
Mailing Address140 Gateway DrWaupun, WI 53963-2276 · (920) 324-3191 · Fax (920) 324-5026
Fax(920) 324-5026
Organization SubpartYes
Authorized OfficialThomas CastilloCorporation Officer · (920) 887-1151
Enumeration DateJuly 15, 2006
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1548286909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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 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.
Also ListedOphthalmologyTaxonomy 207W00000X
140 GATEWAY DR, Waupun, WI 53963

Other Names 1

Doing Business AsThe Waupun Eye Clinic

Other Identifiers 5

Medicaid21310700WI
Other000016160WI · Office Location
Other0593830001Dempos Supplier Number
OtherCP765WI · Rail Road Medicare
Other530337Deancare Hmo Location

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
140 GATEWAY DR
WAUPUN, WI 53963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vita Park Eye Associates, Sc's NPI number?

The NPI number for Vita Park Eye Associates, Sc is 1548286909. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as The Waupun Eye Clinic.

Where is Vita Park Eye Associates, Sc located?

Vita Park Eye Associates, Sc is located at 140 Gateway Dr, Waupun, WI 53963. The listed phone number is (920) 324-3191.

What is Vita Park Eye Associates, Sc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Vita Park Eye Associates, Sc was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.