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SUMMIT EYE CLINIC SC
NPI 1679520845
Optometrist in Oconomowoc, WI

Active since May 31, 2006
608 EAST SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-6565(262) 567-8214 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Eye Clinic Sc NPPES

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

SUMMIT EYE CLINIC SC (NPI 1679520845) is a healthcare organization registered as an optometrist in Oconomowoc, Wisconsin and active in the NPI registry since May 2006. The organization lists Randy J Prestash, President, as its authorized official.

NPPES Registry Identity

NPI1679520845
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSUMMIT EYE CLINIC SC
Location Address608 EAST SUMMIT AVEOconomowoc, WI 53066-3841
Mailing Address608 E Summit AveOconomowoc, WI 53066 · (262) 567-6565 · Fax (262) 567-8214
Phone(262) 567-6565
Fax(262) 567-8214
Organization SubpartNo
Authorized OfficialRandy J PrestashPresident · (262) 567-6565
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 11, 2011
✔ NPI 1679520845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1780
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.
608 EAST SUMMIT AVE, Oconomowoc, WI 53066
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Other Identifiers 3

Medicare ID-Type Unspecified47690WI
Medicaid38711000WI
Medicare UPINT63031

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

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 Summit Eye Clinic Sc's NPI number?

The NPI number for Summit Eye Clinic Sc is 1679520845. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Summit Eye Clinic Sc located?

Summit Eye Clinic Sc is located at 608 East Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-6565.

What is Summit Eye Clinic Sc's specialty?

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

What insurance does Summit Eye Clinic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Summit Eye Clinic Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Eye Clinic Sc was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.