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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERESA RUCH, OPTICIAN

Active

TERESA RUCH, OPTICIAN is a Optician, Dispensing healthcare provider located in WAUPUN, Wisconsin. NPI 1578809364 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · WAUPUN, WI

Registration Details

NPI Number
1578809364
Provider Type
Individual
Gender
Female
NPI Issued
Dec 24, 2012 (13.601837292221 yrs)
Last Updated
Dec 24, 2012
License
157064 (WI)

Practice Information

Address
223 E MAIN ST
WAUPUN, WI, 539632019
Browse WI providers · Browse ZIP 53963
Phone
9203248608
Fax
9203248699
Primary Specialty
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.