1. Home
  2. Directory
  3. Wisconsin
  4. Neenah
  5. Optometrist
  6. NPI Profile

DR. RANDY JOSEPH WILD O.D.
NPI 1891812749
Optometrist in Neenah, WI

Active since March 24, 2007
1111 MAPLE ST, NEENAH, WI 54956(920) 722-7411 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Randy Joseph Wild O.d. NPPES

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

DR. RANDY JOSEPH WILD O.D. (NPI 1891812749) is an individual optometrist in Neenah, Wisconsin, licensed in Wisconsin (1706) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1891812749
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RANDY JOSEPH WILDCredential: O.D.
Location Address1111 MAPLE STNeenah, WI 54956-4122
Mailing Address1111 Maple StNeenah, WI 54956-4122
Phone(920) 722-7411
Sole ProprietorYes
Enumeration DateMarch 24, 2007
Last NPPES UpdateJune 6, 2008
✔ NPI 1891812749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1706
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 ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1706 (WI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 1706 (WI)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 1706 (WI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1706 (WI)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 1706 (WI)
1111 MAPLE ST, Neenah, WI 54956
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINT63670WI
Medicare ID-Type Unspecified87080WILDWI
Medicaid38509100WI
Medicare NSC0437790001WI

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 Randy Wild's NPI number?

The NPI number for Randy Wild is 1891812749. It was assigned to this individual provider in the NPPES registry on March 24, 2007.

Where is Randy Wild located?

Randy Wild practices at 1111 Maple St, Neenah, WI 54956. The listed phone number is (920) 722-7411.

What is Randy Wild'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 Randy Wild was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.